| Organization Name: | RUSH SURGERY CENTER, LLC |
| NPI Number: | 1164452249 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JON-MARC WESTON (PRESIDENT) |
| Mailing Address: | 648 Chetco Avenue Brookings |
| State: | OR US |
| Postal Code: | 974150228 |
| Phone Number: | 5416722020 |
| Fax Number: | 5416738084 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 02/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 07-1579 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |