Active NPI
RWL Medical Services LLC
- Ambulatory Surgical Clinic/Center
- Fayetteville, AR
National Provider Identifier
1083477582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.