| Conway Outpatient Surgery Center | |
|
1377 Hwy 64 West Conway AR 72032 | |
| (501) 336-9629 | |
| (501) 336-0018 |
| Full Name | Conway Outpatient Surgery Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1377 Hwy 64 West, Conway, Arkansas |
| Authorized Official Name and Position | Kari H Landberg (OWNER) |
| Authorized Official Contact | 5013369629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Outpatient Surgery Center Po Box 1755 Conway AR 72033 Ph: (501) 336-9629 | Conway Outpatient Surgery Center 1377 Hwy 64 West Conway AR 72032 Ph: (501) 336-9629 |
| NPI Number | 1447212204 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355534249 |
|---|---|
| Medicare Enrollment ID | O20101025000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447212204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 11034 (* (Not Available)) | Primary |
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