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Organization
ST. VINCENT-ARKANSAS ORTHOPAEDIC SURGERY CENTER LLC
Active
Organization
ST. VINCENT-ARKANSAS ORTHOPAEDIC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN BEASLEY (CEO)
(501) 978-2600
Entity
Organization
Contact information
Practice address
6119 MIDTOWN AVE, 1ST FLOOR, LITTLE ROCK, AR 72205
(501) 553-9827
(501) 553-9836
Mailing address
6119 MIDTOWN AVE, 1ST FLOOR, LITTLE ROCK, AR 72205
(501) 553-9827
(501) 553-9836
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR3608
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135319128
—
AR
01
—
AR3608
LICENSE NO.
AR
Enumeration date
03/31/2006
Last updated
03/06/2018
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