BENTONVILLE ENDOSCOPY CENTER, LLC – NPI #1013731397
Clinic/Center

BENTONVILLE ENDOSCOPY CENTER, LLC is an AHC clinic located in BENTONVILLE, AR. NPPES has assigned the NPI number 1013731397 to BENTONVILLE ENDOSCOPY CENTER, LLC on November 13, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BENTONVILLE ENDOSCOPY CENTER, LLC below.

NPI Profile for
BENTONVILLE ENDOSCOPY CENTER, LLC

NPI Number
1013731397
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BENTONVILLE ENDOSCOPY CENTER, LLC
Primary location
3700 SE DODSON ROAD
SUITE #4
BENTONVILLE, AR 72712
Phone: (817) 893-2381 Fax:
Mailing address
550 RESERVE ST STE 550
SOUTHLAKE, TX 76092-1604
Phone: (214) 697-7314 Fax:
Organization Subpart
Yes - BENTONVILLE ENDOSCOPY CENTER, LLC is subpart of another organization.
Authorized Official
KELLY ROUVALDT
DIRECTOR OF ASCS
Phone: (817) 893-2381
Updated
Certification Date
Nov 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.