Novamed Surgery Center Of Jonesboro, Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
NOVAMED SURGERY CENTER OF JONESBORO, LLC	1710931134	2023-02-12

The organization Novamed Surgery Center Of Jonesboro, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1710931134. Registration indicates Novamed Surgery Center Of Jonesboro, Llc is a provider of services with a specialization in Ambulatory Surgical (Clinic/Center) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Ambulatory Surgical, ) (Acute IP Hospitals/ASC/IP Substance Abuse/IP Psych Facilities, ) (Clinic/Center Ambulatory Surgical, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:

Eye Surgery Center of Arkansas

Entity Type	Organization

Provider Organization	NOVAMED SURGERY CENTER OF JONESBORO, LLC
Other Provider Organization	EYE SURGERY CENTER OF ARKANSAS
Practice Office Address	601 E MATTHEWS AVE JONESBORO, AR US
Practice Office Telephone	8709356396
Practice Office Fax	8709354063
Mailing Address	601 E MATTHEWS AVE JONESBORO, AR 724013145 US
Business Telephone	8709356396
Authorized Official	JENNIFER BOYD BALDOCK, OFFICER AND AUT 6152345954

HPT Codes

Code	Practice	License No State
261QA1903X PRIMARY	Ambulatory Surgical (Clinic/Center), Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Ambulatory Surgical Acute IP Hospitals/ASC/IP Substance Abuse/IP Psych Facilities Clinic/Center Ambulatory Surgical Ambulatory Health Care Facilities Clinic/Center	2436 AR

OPI Codes

163018128	MEDICAID	AR
502611601	MEDICAID	MO

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