SOUTH ARKANSAS SURGERY CENTER – NPI #1619037066
Clinic/Center

SOUTH ARKANSAS SURGERY CENTER is an AHC clinic located in EL DORADO, AR. NPPES has assigned the NPI number 1619037066 to SOUTH ARKANSAS SURGERY CENTER on December 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH ARKANSAS SURGERY CENTER” is a dba name, the actual legal business name for this organization is THE EL DORADO AR MULTISPECIALTY ASC LLC. 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

The NPI profile was previously updated about 5 years ago on Jan 06, 2021. 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 SOUTH ARKANSAS SURGERY CENTER below.

NPI Profile for
THE EL DORADO AR MULTISPECIALTY ASC LLC

NPI Number
1619037066
Enumeration Date

(more than 19 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
THE EL DORADO AR MULTISPECIALTY ASC LLC
Doing Business As (dba): SOUTH ARKANSAS SURGERY CENTER
Primary location
2704 VINE STREET
EL DORADO, AR 71730
Phone: (870) 864-6696 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFF SNODGRASS
PRESIDENT
Phone: (615) 665-1283
Updated
Certification Date
Jan 06, 2021

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.

Identifiers

Identifiers for SOUTH ARKANSAS SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAR168467128
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.