ORTHOARKANSAS SPINE INSTITUTE PROCEDURE CENTER LLC NPI 1629675285

NPI Information

NPI: 1629675285
Provider Name: ORTHOARKANSAS SPINE INSTITUTE PROCEDURE CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 04D2212074

Address:
800 FAIR PARK BLVD STE 300
LITTLE ROCK, AR
ZIP 72204
Phone: (501) 813-5621
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ORTHOARKANSAS SPINE INSTITUTE PROCEDURE CENTER LLC is an ambulatory surgical clinic center in Little Rock, AR. ORTHOARKANSAS SPINE INSTITUTE PROCEDURE CENTER LLC NPI is 1629675285. The provider is registered as an organization entity type.

The provider's business location address is:

800 FAIR PARK BLVD STE 300
LITTLE ROCK, AR
ZIP 72204-720
Phone: (501) 813-5621
Fax: (501) 500-4880

The provider's authorized official is Traci Fox .
The authorized official title is Administrator and has the following contact phone number (501) 900-9797.

The CLIA number assigned to this NPI record is 04D2212074 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2020 and was last updated on 9/14/2022.

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
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: 4/28/2024

NPI Synchronization or Removal

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