South Arkansas Surgery Center
LBN: South Ark Ear Nose & Throat Clinic P A
South Arkansas Surgery Center is an health care organization with primary practice located at 4310 S Mulberry St , Pine Bluff AR 71603-7030. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
South Ark Ear Nose & Throat Clinic P A can be contacted via phone (870) 535-5177, or through Shorts, Stephen Donald via phone (870) 535-5177.
Contact Information
Primary practice address
4310 S Mulberry St
Pine Bluff AR 71603-7030
Phone: (870) 535-5177
Fax: (870) 535-7878
Website:
Authorized official contact:
Name: Shorts, Stephen Donald Doctor of Medicine (MD)
Phone: (870) 535-5177
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 850 | Arkansas |
Profile Details
| NPI number | 1962478115 |
|---|---|
| LBN Legal business name | South Ark Ear Nose & Throat Clinic P A |
| DBA Doing business as | South Arkansas Surgery Center |
| Authorized official | Shorts, Stephen Donald Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Aug 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962478115 | NPPES |
| Arkansas | MEDICAID | 117713128 |
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