Provider Demographics
NPI: | 1083477582 |
---|---|
Name: | RWL MEDICAL SERVICES LLC |
Entity Type: | Organization |
Organization Name: | RWL MEDICAL SERVICES LLC |
Other - Org Name: | ROLLER SURGERY CENTER |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | FINANCIAL CONTROLLER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BRITTANY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BIGGERS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 479-856-6606 |
Mailing Address - Street 1: | 1695 E RAINFOREST RD STE 4 |
Mailing Address - Street 2: | |
Mailing Address - City: | FAYETTEVILLE |
Mailing Address - State: | AR |
Mailing Address - Zip Code: | 72703-5463 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 479-249-6312 |
Mailing Address - Fax: | 479-445-6719 |
Practice Address - Street 1: | 1695 E RAINFOREST RD STE 4 |
Practice Address - Street 2: | |
Practice Address - City: | FAYETTEVILLE |
Practice Address - State: | AR |
Practice Address - Zip Code: | 72703-5463 |
Practice Address - Country: | US |
Practice Address - Phone: | 479-249-6312 |
Practice Address - Fax: | 479-445-6719 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-02-06 |
Last Update Date: | 2024-02-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |