LITTLE ROCK OUTPATIENT SURGERY CENTER, LLC
Surgery Yellow Pages
Little Rock, Arkansas
Provider NPI: 1548256365
Organization Information:Organization Name: LITTLE ROCK OUTPATIENT SURGERY CENTER, LLC
Practice Location:
8907 KANIS RD STE. 100 LITTLE ROCK, AR 72205 US
Tel: 501-217-9007 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
8907 KANIS RD STE. 100 LITTLE ROCK, AR 72205 US
Tel: 501-217-9007 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | AR | AR4172 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | 11039 | AR | 01 |
135696128 | AR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin