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ORTHOARKANSAS SURGERY CENTER LLC NPI 1093799405


NPI Information

NPI: 1093799405
Provider Name: ORTHOARKANSAS SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
10301 KANIS RD
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 604-4150
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ORTHOARKANSAS SURGERY CENTER LLC is an ambulatory surgical clinic center in Little Rock, AR. ORTHOARKANSAS SURGERY CENTER LLC NPI is 1093799405. The provider is registered as an organization entity type.

The provider's business location address is:

10301 KANIS RD
LITTLE ROCK, AR
ZIP 72205-205
Phone: (501) 604-4150
Fax: (501) 604-4127

The provider's authorized official is Gretchen Marchese .
The authorized official title is Financial Manager and has the following contact phone number (501) 604-4150.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 12/11/2013.


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
1261QA1903XClinic/CenterAmbulatory SurgicalAR3758ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111045MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2138737128MEDICAIDARKANSAS

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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