Jefferson Surgery Center Pllc in Pine Bluff - Ambulatory Surgical
Jefferson Surgery Center Pllc - NPI 1710934542
Jefferson Surgery Center Pllc is a Ambulatory Surgical in Pine Bluff, Arkansas. Jefferson Surgery Center Pllc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Jefferson Surgery Center Pllc is 1710934542. The last update date is 2008-08-26.
Jefferson Surgery Center Pllc's current location address is 1609 W 40th Ave, Pine Bluff, Arkansas. You can contact this provider via phone number 8705413636 and fax number 8705413639. The mailing address for Jefferson Surgery Center Pllc is 1609 W 40th Ave, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson Surgery Center Pllc |
|---|---|
| Address | 1609 W 40th Ave, Pine Bluff, Arkansas |
| Phone Number | 8705413636 |
| Fax Number | 8705413639 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Bohannan R Crystal |
| Credentials | CPA |
| Telephone Number | 8705413640 |
NPI Number Detail
| NPI Number | 1710934542 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2008-08-26 |
Provider Mailing Address Detail
| Address | 1609 W 40th Ave |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716036329 |
| Phone Number | 8705413636 |
| Fax Number | 8705413639 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | AR3637 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 135346128 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jefferson Surgery Center Pllc by the Centers for Medicare & Medicaid Services?
The Jefferson Surgery Center Pllc has been issued the NPI (National Provider Identifier) 1710934542, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jefferson Surgery Center Pllc is located?
The Jefferson Surgery Center Pllc is situated at the following address: 1609 W 40Th Ave, Pine Bluff, AR, 716036329.
What is Jefferson Surgery Center Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jefferson Surgery Center Pllc's area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services assign the 1710934542 to Jefferson Surgery Center Pllc?
The Centers for Medicare & Medicaid Services assigned the 1710934542 to Jefferson Surgery Center Pllc on 2006-05-27.
When was the information related to Jefferson Surgery Center Pllc most recently updated or refreshed?
The details pertaining to the Jefferson Surgery Center Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-26.
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