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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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