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Contact Information

ADVANCED AMBULATORY SURGERY CENTER, LLC
1444 E STEARNS ST
SUITE 15
FAYETTEVILLE, AR72703-6243
 Phone: 479-966-4972
 Fax: 479-966-4655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for ADVANCED AMBULATORY SURGERY CENTER, LLC

NPI Number 1326228370
LBN Legal business name ADVANCED AMBULATORY SURGERY CENTER, LLC
Authorized official LANCE HENRY - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2007
Last updated 08/29/2012 - About 14 years ago
Identifiers
Other 478741 JACHO
AR Other AR4579 STATE OF ARKANSAS DEPARTMENT OF HEALTH
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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