ARKANSAS SURGERY AND ENDOSCOPY CENTER INC NPI 1922068295

NPI Information

NPI: 1922068295
Provider Name: ARKANSAS SURGERY AND ENDOSCOPY CENTER, INC

Doing Business As: ASEC

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

Specialization: Ambulatory Surgical

Address:
4800 HAZEL STREET
PINE BLUFF, AR
ZIP 71603
Phone: (870) 536-4800
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ARKANSAS SURGERY AND ENDOSCOPY CENTER, INC is an ambulatory surgical clinic center in Pine Bluff, AR. ARKANSAS SURGERY AND ENDOSCOPY CENTER, INC NPI is 1922068295. The provider is registered as an organization entity type.
The provider Is Doing Business As Asec.

The provider's business location address is:

4800 HAZEL STREET
PINE BLUFF, AR
ZIP 71603
Phone: (870) 536-4800
Fax: (870) 534-5535

The provider's authorized official is Ahmed Samad .
The authorized official title is Ceo and has the following contact phone number (870) 692-0316.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 9/22/2021.

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	261QE0800X	Clinic/Center	Endoscopy	R4495	ARKANSAS	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	R4495	ARKANSAS	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	490002996	OTHER		RAILROAD MEDICARE
2	6800006	OTHER		UNITED HEALTHCARE
3	128777128	MEDICAID	ARKANSAS
4	5938123	OTHER		AETNA
5	11004	OTHER	ARKANSAS	BLUE CROSS BLUE SHIELD

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

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