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
LITTLE ROCK OUTPATIENT SURGERY CENTER, LLC
Active
Organization
LITTLE ROCK OUTPATIENT SURGERY CENTER, LLC
Active
Other names
Rivercrest Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY KINCAID (ADMINISTRATOR)
(501) 217-9007
Entity
Organization
Contact information
Practice address
8907 KANIS RD, STE. 100, LITTLE ROCK, AR 72205-6449
(501) 217-9007
(501) 221-0337
Mailing address
8907 KANIS RD, STE. 100, LITTLE ROCK, AR 72205-6449
(501) 217-9007
(501) 221-0337
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F321
BCBS
AR
Enumeration date
09/27/2005
Last updated
07/09/2008
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