Rivercrest Specialty Surgery Center

LBN: Little Rock Outpatient Surgery Center, Llc
Rivercrest Specialty Surgery Center is an health care organization with primary practice located at 8907 Kanis Rd Ste. 100, Little Rock AR 72205-6449. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Little Rock Outpatient Surgery Center, Llc can be contacted via phone (501) 217-9007, or through Kincaid, Jerry via phone (501) 217-9007.

Contact Information

Primary practice address
8907 Kanis Rd Ste. 100 Little Rock AR 72205-6449
Phone: (501) 217-9007
Fax: (501) 221-0337
Website:
Map and Directions
Authorized official contact:
Name: Kincaid, Jerry
Phone: (501) 217-9007

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X AR4172 Arkansas

Profile Details

NPI number 1548256365
LBN Legal business name Little Rock Outpatient Surgery Center, Llc
DBA Doing business as Rivercrest Specialty Surgery Center
Authorized official Kincaid, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 9th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548256365 NPPES
Arkansas Other 11039 BCBS
Arkansas MEDICAID 135696128 BCBS

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