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SPRINGDALE BENTONVILLE SURGERY CENTER LP NPI 1730131731


NPI Information

NPI: 1730131731
Provider Name: SPRINGDALE BENTONVILLE SURGERY CENTER LP

Doing Business As: NORTHWEST AMBULATORY SURGERY CENTER - SPRINGDALE

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

Specialization: Ambulatory Surgical

Address:
601 W MAPLE AVE
SUITE 302
SPRINGDALE, AR
ZIP 72764
Phone: (479) 750-5800
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SPRINGDALE BENTONVILLE SURGERY CENTER LP is an ambulatory surgical clinic center in Springdale, AR. SPRINGDALE BENTONVILLE SURGERY CENTER LP NPI is 1730131731. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Ambulatory Surgery Center - Springdale.

The provider's business location address is:

601 W MAPLE AVE
SUITE 302
SPRINGDALE, AR
ZIP 72764-335
Phone: (479) 750-5800
Fax: (479) 685-7262

The provider's authorized official is Laurie Holtsford .
The authorized official title is Director, Business Office Support and has the following contact phone number (615) 465-7466.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 2/3/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalAR4278ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1158419128MEDICAIDARKANSAS
211063MEDICARE PIN

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

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