THE EL DORADO AR MULTISPECIALTY ASC LLC NPI 1619037066

NPI Information

NPI: 1619037066
Provider Name: THE EL DORADO AR MULTISPECIALTY ASC LLC

Doing Business As: SOUTH ARKANSAS SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2704 VINE STREET
EL DORADO, AR
ZIP 71730
Phone: (870) 864-6696
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THE EL DORADO AR MULTISPECIALTY ASC LLC is an ambulatory surgical clinic center in El Dorado, AR. THE EL DORADO AR MULTISPECIALTY ASC LLC NPI is 1619037066. The provider is registered as an organization entity type.
The provider Is Doing Business As South Arkansas Surgery Center.

The provider's business location address is:

2704 VINE STREET
EL DORADO, AR
ZIP 71730
Phone: (870) 864-6696

The provider's authorized official is Jeff Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 1/6/2021.

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

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	168467128	MEDICAID	ARKANSAS

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: 5/5/2024

NPI Synchronization or Removal

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