Organization
FREEDOM SURGERY CENTER
Active
Organization
FREEDOM SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY MCCARLEY (ACCOUNTS MANAGER)
(479) 649-7018
Entity
Organization
Contact information
Practice address
3733 N BUSINESS DR, FAYETTEVILLE, AR 72703-5203
(479) 251-1016
Mailing address
9001 JENNY LIND RD, FORT SMITH, AR 72908-8629
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
AR4106
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00074266
RAILROAD MEDICARE
AR
Enumeration date
03/09/2007
Last updated
08/22/2020
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