PREMIER RURAL DB & GANTT SURGERY CENTER LLC NPI 1588408033

NPI Information

  • NPI: 1588408033
  • Provider Name: PREMIER RURAL DB & GANTT SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 403 W. OAK STREET
    SUITE 101
    EL DORADO, AR
    ZIP 71730
  • Phone: (870) 875-1481

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NPI Details

PREMIER RURAL DB & GANTT SURGERY CENTER, LLC is an ambulatory surgical clinic center in El Dorado, AR. PREMIER RURAL DB & GANTT SURGERY CENTER, LLC NPI is 1588408033. The provider is registered as an organization entity type.

The provider's business location address is:

403 W. OAK STREET
SUITE 101
EL DORADO, AR
ZIP 71730-573
Phone: (870) 875-1481
Fax: (870) 875-1486

The provider's authorized official is Mian Imran Ahmed .
The authorized official title is Administrator and has the following contact phone number (870) 875-1481.

The enumeration date for this NPI number is 6/20/2024 and was last updated on 6/20/2024.

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: 3/30/2025

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