CONWAY CARDIOVASCULAR SURGERY CENTER LLC NPI 1487122669

NPI Information

NPI: 1487122669
Provider Name: CONWAY CARDIOVASCULAR SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 04D2190122

Address:
650 UNITED DR STE 120
CONWAY, AR
ZIP 72032
Phone: (501) 205-8389
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CONWAY CARDIOVASCULAR SURGERY CENTER, LLC is an ambulatory surgical clinic center in Conway, AR. CONWAY CARDIOVASCULAR SURGERY CENTER, LLC NPI is 1487122669. The provider is registered as an organization entity type.

The provider's business location address is:

650 UNITED DR STE 120
CONWAY, AR
ZIP 72032-826
Phone: (501) 205-8389

The provider's authorized official is James Thomas .
The authorized official title is Md and has the following contact phone number (501) 205-8389.

The CLIA number assigned to this NPI record is 04D2190122 - ambulatory surgery center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 11/6/2018.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 11/14/2023

NPI Synchronization or Removal

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