Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ADVANCED AMBULATORY SURGERY CENTER, LLC
Active
Organization
ADVANCED AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE BRANDON HENRY M.D. (DIRECTOR)
(479) 568-8494
Entity
Organization
Contact information
Practice address
1444 E STEARNS ST, SUITE 15, FAYETTEVILLE, AR 72703-6243
(479) 966-4972
(479) 966-4655
Mailing address
1444 E STEARNS ST, SUITE 15, FAYETTEVILLE, AR 72703-6243
(479) 966-4972
(479) 966-4655
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
478741
JACHO
—
01
—
AR4579
STATE OF ARKANSAS DEPARTMENT OF HEALTH
AR
Enumeration date
11/07/2007
Last updated
08/29/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up