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ARKANSAS SURGICAL HOSPITAL, LLC
NPI 1073088068
Durable Medical Equipment & Medical Supplies in Conway, AR

Active since October 05, 2018CLIA 04D1038350 · Accreditation
605 DAVE WARD DR STE 104, CONWAY, AR 72034(501) 663-6455 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Arkansas Surgical Hospital, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARKANSAS SURGICAL HOSPITAL, LLC (NPI 1073088068) is a healthcare organization registered as a durable medical equipment & medical supplies in Conway, Arkansas and active in the NPI registry since October 2018. The organization holds an CLIA Accreditation certificate valid through April 4, 2028 and lists Christopher Brian Fowler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073088068
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameARKANSAS SURGICAL HOSPITAL, LLC
Location Address605 DAVE WARD DR STE 104Conway, AR 72034-7138
Mailing Address5201 Northshore DrNorth Little Rock, AR 72118-5312
Phone(501) 663-6455
Organization SubpartNo
Authorized OfficialChristopher Brian FowlerCeo · (501) 748-8089
Enumeration DateOctober 5, 2018
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1073088068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
605 DAVE WARD DR STE 104, Conway, AR 72034
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 04D1038350

Arkansas Surgical Hospital LLC · North Little Rock, AR
Active · expires Apr 4, 2028
CLIA Number04D1038350
Laboratory TypeHospital
Certificate Effective DateApril 5, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPaul Stout
Laboratory Phone(501) 748-8038
Laboratory LocationArkansas Surgical Hospital LLC5201 North Shore Drive, North Little Rock, AR 72118
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arkansas Surgical Hospital, LLC's NPI number?

The NPI number for Arkansas Surgical Hospital, LLC is 1073088068. It was assigned to this organization in the NPPES registry on October 5, 2018.

Where is Arkansas Surgical Hospital, LLC located?

Arkansas Surgical Hospital, LLC is located at 605 Dave Ward Dr Ste 104, Conway, AR 72034. The listed phone number is (501) 663-6455.

What is Arkansas Surgical Hospital, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Arkansas Surgical Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 04D1038350) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arkansas Surgical Hospital, LLC was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.