MAYFIELD AMBULATORY SURGERY CENTER LLC NPI 1245985407

NPI Information

  • NPI: 1245985407
  • Provider Name: MAYFIELD AMBULATORY SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 04D2265067
  • Address: 1710 MAYFIELD DR
    JONESBORO, AR
    ZIP 72401
  • Phone: (844) 215-0731

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NPI Details

MAYFIELD AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Jonesboro, AR. MAYFIELD AMBULATORY SURGERY CENTER, LLC NPI is 1245985407. The provider is registered as an organization entity type.

The provider's business location address is:

1710 MAYFIELD DR
JONESBORO, AR
ZIP 72401-563
Phone: (844) 215-0731
Fax: (888) 630-8885

The provider's authorized official is Elizabeth Waddell .
The authorized official title is Asc Administrator and has the following contact phone number (501) 766-1065.

The CLIA number assigned to this NPI record is 04D2265067 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2022 and was last updated on 2/16/2022.

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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