Springdale Bentonville Surgery Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AR-4298 Issued in AR

Legal business name

SPRINGDALE BENTONVILLE SURGERY CENTER LP

Doing business as

Northwest Ambulatory Surgery Center - Bentonville

Practice address

2900 Medical Center Pkwy
Suite 100
Bentonville, AR 72712-3204

Phone

(479) 418-5300

Fax

(479) 418-5330

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Laurie Holtsford

Title

Director Business Office Support

Phone

(615) 465-7466

Specialties & licenses 1

Addresses

Other names 1

• Northwest Ambulatory Surgery Center - Bentonville Doing business as

Tax ID family

Northwest Ambulatory Surgery Center - Bentonville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Springdale Bentonville Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • Springdale, AR
  • NPI 1730131731
  NPD tax ID

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1750333795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841231",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841231",
            "telephone_number": "479-418-5300",
            "fax_number": "479-418-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MEDICAL CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123204",
            "telephone_number": "479-418-5300",
            "fax_number": "479-418-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGDALE BENTONVILLE SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR BUSINESS OFFICE SUPPORT",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "AR-4298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Ambulatory Surgery Center - Bentonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loren Sperling
• Joyce Marie Spoonemore
• Ragon Sprabery
• Eric W Spradlin, LPC
• Ellen F Sprentall-Nankervis, BS, PHARMD
• Springdale- Bentonville HBP Services, LLC
• Landry Spurlock
• Square One OT
• Felicia Squires
• Cole T Staats

• Ambulatory Surgical Clinic/Center in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Ambulatory Surgical Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.