NORTH RIVER SURGERY CENTER, LLC (NPI# 1417929811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417929811 |
Entity Type | Organization |
Organization Name | NORTH RIVER SURGERY CENTER, LLC |
Other Organization Name | NORTH RIVER SURGERY CENTER ANESTHESIA |
Practice Address |
2209 Wildwood Ave Sherwood AR 72120-5074 |
Practice Telephone | 5018345777 |
Practice Fax Number | 5018340126 |
Mailing Telephone | 5018345777 |
Mailing Fax Number | 5018340126 |
Enumeration Date | 2006-02-02 |
Last Update Date | 2014-01-29 |
Authorized Official Name | BARBARA E SNOW (ADMINISTRATOR) |
Authorized Official Telephone | 5018345777 |
Authorized Official Credential | CASC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 118656001 | 05 |
Other Name | Type Code |
---|---|
North River Surgery Center Anesthesia | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265404669 | North River Surgery Center, LLC | Clinic/Center | 2209 Wildwood Ave, Sherwood, AR 72120-5074 | 2006-02-02 |
Street Address |
2209 WILDWOOD AVE |
City | SHERWOOD |
State | AR |
Zip Code | 72120-5074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265404669 | North River Surgery Center, LLC | Clinic/Center | 2209 Wildwood Ave, Sherwood, AR 72120-5074 | 2006-02-02 |
1568434967 | Michelle Dawn Eddington | Nurse Anesthetist, Certified Registered | 2209 Wildwood Ave, C/o North River Surgery Center, Sherwood, AR 72120-5074 | 2006-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215409818 | Mary Kaye Hill | Physical Therapist | 6020 Warden Road, Sherwood, AR 72120 | 2018-12-20 |
1043714694 | Healthcare Express, LLP | Clinic/Center | 1554 Country Club Road, Sherwood, AR 72120 | 2018-03-20 |
1265957690 | Darryl Nathaniel Griffith | Massage Therapist | 9871 Brockington Road, Suite #1, Sherwood, AR 72120 | 2017-08-07 |
1669841011 | Sarah Katherine Stephenson | Pharmacist | 102 Brockington Rd, Sherwood, AR 72120 | 2015-09-16 |
1063803328 | The Legacy for Children and Families | Counselor | 190 Jan Drive, Suite #10, Sherwood, AR 72120 | 2015-02-09 |
1417297235 | Andrew Hunter Beavers | Counselor | 37 Walton Rd., Sherwood, AR 72120 | 2013-02-15 |
1003156886 | Infinity Hearing Center Inc. | Hearing Aid Equipment | 3115 E Kiehl Ave, Suite B, Sherwood, AR 72120 | 2013-02-15 |
1548543234 | Lorrie Ann George | Early Intervention Provider Agency | 207 Fred Rains Drive, Sherwood, AR 72120 | 2011-09-20 |
1033411897 | Tessa Monique Davis | Occupational Therapist | 21 Gunstock Lane, North Little Rock, AR 72120 | 2010-11-30 |
1720307903 | Yousef Arfan Fahoum | Psychologist | 2215 Wildwood Ave Ste 200, Sherwood, AR 72120 | 2010-05-27 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1013143478 | Providence Health & Services - Oregon | Clinic/Center | 16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140-9679 | 2009-05-29 |
1700045812 | Sherwood Acupuncture, LLC | Clinic/Center | 20508 Sw Roy Rogers Rd, C-115, Sherwood, OR 97140-9932 | 2008-06-03 |
1013045152 | Sherwood Family Eye Health LLC | Clinic/Center | 20407 Sw Borchers Dr, Suite 202, Sherwood, OR 97140-8760 | 2007-03-01 |
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1093368623 | Taylored Therapies, Pllc | Clinic/Center | 1004 Beau Terre Dr Ste 507, Bentonville, AR 72712-6799 | 2019-07-23 |
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1043777436 | Amethyst Chiropractic | Clinic/Center | 1100 Mallard Pl Ste A, Bentonville, AR 72712-6850 | 2019-02-21 |
1821566647 | Conway Vein and Vascular | Clinic/Center | 650 United Dr Ste 320, Conway, AR 72032-7826 | 2018-11-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.