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Organization
NORTH RIVER SURGERY CENTER, LLC
Active
Organization
NORTH RIVER SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA E SNOW CASC (ADMINISTRATOR)
(501) 834-5777
Entity
Organization
Contact information
Practice address
2209 WILDWOOD AVE, SHERWOOD, AR 72120-5074
(501) 834-5777
(501) 834-0126
Mailing address
2209 WILDWOOD AVE, SHERWOOD, AR 72120-5074
(501) 834-5777
(501) 834-0126
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR3567
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11035
BLUE CROSS BLUE SHIELD
AR
05
—
133949728
—
AR
Enumeration date
02/02/2006
Last updated
01/24/2014
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