NORTH COMPLEX OUTPATIENT SURGERY CENTER (WHITE RIVER HEALTH SYSTEM, INC.) NPI 1215118492
Clinic/Center (Ambulatory Surgical) in Cherokee Village, AR
About NORTH COMPLEX OUTPATIENT SURGERY CENTER (WHITE RIVER HEALTH SYSTEM, INC.)
North Complex Outpatient Surgery Center (white River Health System,inc.) is a provider established in Cherokee Village, Arkansas specializing in clinic/center (ambulatory surgical) . The NPI number of North Complex Outpatient Surgery Center (white River Health System,inc.) is 1215118492 and was assigned on November 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as North Complex Outpatient Surgery Center. The authorized official of this NPI record is Mr. Gary Bebow (Ceo)
| NPI | 1215118492 |
| Provider Name | NORTH COMPLEX OUTPATIENT SURGERY CENTER (WHITE RIVER HEALTH SYSTEM,INC.) |
| Provider Location Address | 197 HOSPITAL DR SUITE D CHEROKEE VILLAGE, AR 72529 |
| Provider Mailing Address | 197 HOSPITAL DR SUITE D CHEROKEE VILLAGE, AR 72529 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | NORTH COMPLEX OUTPATIENT SURGERY CENTER |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 11-16-2007 |
| Last Update Date | 07-08-2013 |
Primary Taxonomy
| Taxonomy Code | 261QA1903X |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| Specialization | Ambulatory Surgical |
Business Address
NORTH COMPLEX OUTPATIENT SURGERY CENTER
197 HOSPITAL DR
SUITE D
CHEROKEE VILLAGE, AR
ZIP 72529
Phone: (870) 257-6070
Fax: (870) 257-7667
Mailing Address
NORTH COMPLEX OUTPATIENT SURGERY CENTER
197 HOSPITAL DR
SUITE D
CHEROKEE VILLAGE, AR
ZIP 72529
Phone: (870) 257-6061
Fax: (870) 257-7667
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 175016128 | MEDICAID (05) | AR |
| AR4463 | OTHER (01) | AR |
| 15386 | OTHER (01) | AR |
| 11076 | OTHER (01) | AR |
Other Providers at the same location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114913936 | INTERNAL MEDICINE DIAGNOSTICS INC Organization | Internal Medicine | 197 HOSPITAL DR SUITE B CHEROKEE VILLAGE, AR 72529 (870) 257-5118 |
| 1508846015 | WHITE RIVER HEALTH SYSTEM, INC. Organization | Clinic/Center (Primary Care) | 197 HOSPITAL DR CHEROKEE VILLAGE, AR 72529 (870) 257-6070 |
| 1700845740 | SURINDER P S SRA M.D. Individual | Internal Medicine | 197 HOSPITAL DR SUITE B CHEROKEE VLG, AR 72529 (870) 257-5118 |
| 1528022209 | MRS. JANET SUE TORBIT APN Individual | Nurse Practitioner (Adult Health) | 197 HOSPITAL DR SUITE B CHEROKEE VILLAGE, AR 72529 (870) 257-5118 |
| 1821423849 | WHITE RIVER HEALTH SYSTEM, INC. Organization | Emergency Medicine | 197 HOSPITAL DR SUITE C CHEROKEE VILLAGE, AR 72529 (870) 257-6070 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.