ADVANCED AMBULATORY SURGERY CENTER LLC NPI 1326228370

NPI Details

ADVANCED AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Fayetteville, AR. ADVANCED AMBULATORY SURGERY CENTER, LLC NPI is 1326228370. The provider is registered as an organization entity type.

The provider's business location address is:

1444 E STEARNS ST
SUITE 15
FAYETTEVILLE, AR
ZIP 72703-243
Phone: (479) 966-4972
Fax: (479) 966-4655

The provider's authorized official is Lance Brandon Henry .
The authorized official title is Director and has the following contact phone number (479) 568-8494.

The CLIA number assigned to this NPI record is 04D2294418 - federally qualified health center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
• Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
• Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
• Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
• Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)

The enumeration date for this NPI number is 11/7/2007 and was last updated on 8/29/2012.

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:

Other Identifiers

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