Organization Active NPI

RWL Medical Services LLC

  • Ambulatory Surgical Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1083477582
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RWL MEDICAL SERVICES LLC
Practice address
1695 E Rainforest Rd Ste 4
Fayetteville, AR 72703-5463
Phone
(479) 249-6312
Fax
(479) 445-6719
NPI assigned
Feb 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brittany Biggers
Title
Financial Controller
Phone
(479) 856-6606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1695 E Rainforest Rd Ste 4
Fayetteville, AR 72703-5463

Mailing address

1695 E Rainforest Rd Ste 4
Fayetteville, AR 72703-5463
Phone (479) 249-6312

Other names 1

  • Roller Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240806000813 AR Part B Supplier - Ambulatory Surgical Center 9537606702 Practice locations: Fayetteville, AR

Ambulatory surgical center certification: CCN 04C0001124

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Roller Surgery Center
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Dec 17, 2024
Last certification
Dec 4, 2024
Ownership / control type
Proprietary
Facility address
1695 E Rainforest Road
Fayetteville, AR 72703

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1083477582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 E RAINFOREST RD STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035463",
            "telephone_number": "479-249-6312",
            "fax_number": "479-445-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 E RAINFOREST RD STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035463",
            "telephone_number": "479-249-6312",
            "fax_number": "479-445-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWL MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BIGGERS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "479-856-6606"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roller Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.