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ARKANSAS CENTER FOR ARTHROSCOPY NPI 1275561516


NPI Information

NPI: 1275561516
Provider Name: ARKANSAS CENTER FOR ARTHROSCOPY
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 04D2168363

Address:
1504 SE 28TH ST
BENTONVILLE, AR
ZIP 72712
Phone: (479) 273-1111
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ARKANSAS CENTER FOR ARTHROSCOPY is a specialist in Bentonville, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ARKANSAS CENTER FOR ARTHROSCOPY NPI is 1275561516. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1504 SE 28TH ST
BENTONVILLE, AR
ZIP 72712-988
Phone: (479) 273-1111
Fax: (479) 273-1255

The provider's authorized official is Cindy Cooper .
The authorized official title is Office Manager and has the following contact phone number (479) 273-1111.

The CLIA number assigned to this NPI record is 04D2168363 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistE476114ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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