BENTONVILLE ENDOSCOPY CENTER LLC NPI 1013731397

NPI Information

  • NPI: 1013731397
  • Provider Name: BENTONVILLE ENDOSCOPY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 04D2315853
  • Address: 3700 SE DODSON ROAD
    SUITE #4
    BENTONVILLE, AR
    ZIP 72712
  • Phone: (817) 893-2381

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NPI Details

BENTONVILLE ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Bentonville, AR. BENTONVILLE ENDOSCOPY CENTER, LLC NPI is 1013731397. The provider is registered as an organization entity type.

The provider's business location address is:

3700 SE DODSON ROAD
SUITE #4
BENTONVILLE, AR
ZIP 72712
Phone: (817) 893-2381

The provider's authorized official is Kelly Rouvaldt .
The authorized official title is DIRECTOR OF ASCSAscs and has the following contact phone number (817) 893-2381.

The CLIA number assigned to this NPI record is 04D2315853 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2024 and was last updated on 11/13/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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