Organization
SPRINGDALE BENTONVILLE SURGERY CENTER LP
Active
Other names
Northwest Ambulatory Surgery Center - Springdale
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (DIRECTOR, BUSINESS OFFICE SUPPORT)
(615) 465-7466
Entity
Organization
Contact information
Practice address
601 W MAPLE AVE, SUITE 302, SPRINGDALE, AR 72764-5335
(479) 750-5800
(479) 685-7262
Mailing address
PO BOX 842494, DALLAS, TX 75284-2494
(479) 750-5800
(479) 685-7262
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4278
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158419128
—
AR
Enumeration date
05/17/2006
Last updated
02/03/2009
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