MAYFIELD AMBULATORY SURGERY CENTER, LLC – NPI #1245985407
Clinic/Center

MAYFIELD AMBULATORY SURGERY CENTER, LLC is an AHC clinic located in JONESBORO, AR. NPPES has assigned the NPI number 1245985407 to MAYFIELD AMBULATORY SURGERY CENTER, LLC on February 16, 2022. 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 MAYFIELD AMBULATORY SURGERY CENTER, LLC below.

NPI Profile for
MAYFIELD AMBULATORY SURGERY CENTER, LLC

NPI Number
1245985407
Enumeration Date

(more than 4 years 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
MAYFIELD AMBULATORY SURGERY CENTER, LLC
Primary location
1710 MAYFIELD DR
JONESBORO, AR 72401-4563
Phone: (844) 215-0731 Fax: (888) 630-8885
Mailing address
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211-2840
Phone: (844) 215-0731 Fax: (888) 630-5558
Organization Subpart
No
Authorized Official
ELIZABETH WADDELL
ASC ADMINISTRATOR
Phone: (501) 766-1065
Updated
Certification Date
Feb 16, 2022

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.