SURGERY CENTER AT THE RESERVE, P.A., INC. – NPI #1639615297
Clinic/Center

SURGERY CENTER AT THE RESERVE, P.A., INC. is an AHC clinic located in JONESBORO, AR. NPPES has assigned the NPI number 1639615297 to SURGERY CENTER AT THE RESERVE, P.A., INC. on January 06, 2017. 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 SURGERY CENTER AT THE RESERVE, P.A., INC. below.

NPI Profile for
SURGERY CENTER AT THE RESERVE, P.A., INC.

NPI Number
1639615297
Enumeration Date

(more than 9 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
SURGERY CENTER AT THE RESERVE, P.A., INC.
Primary location
2241 HILLPARK COVE
SUITE B
JONESBORO, AR 72401
Phone: (870) 333-5747 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KEITH CHRESTMAN
AGENT
Phone: (870) 933-8517
Updated
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.