| Premier Surgery Center | |
|
10915 Rodney Parham Rd Suite A Little Rock AR 72212-7221 | |
| (501) 747-2828 | |
| (501) 747-2868 |
| Full Name | Premier Surgery Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10915 Rodney Parham Rd, Little Rock, Arkansas |
| Authorized Official Name and Position | Todd Greer (CEO) |
| Authorized Official Contact | 5016904424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Surgery Center Po Box 26618 Little Rock AR 72221-6601 Ph: (501) 313-5200 | Premier Surgery Center 10915 Rodney Parham Rd Suite A Little Rock AR 72212-7221 Ph: (501) 747-2828 |
| NPI Number | 1073079596 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 05/03/2023 |
| Medicare PECOS PAC ID | 1153685474 |
|---|---|
| Medicare Enrollment ID | O20190516001740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073079596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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