Provider Demographics
NPI:1457077174
Name:BATTLE STREET SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:BATTLE STREET SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HALLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUILENBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-503-4100
Mailing Address - Street 1:1701 CENTERVIEW DR STE 114
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4311
Mailing Address - Country:US
Mailing Address - Phone:501-503-4100
Mailing Address - Fax:
Practice Address - Street 1:10700 N RODNEY PARHAM RD STE C1-B
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-4191
Practice Address - Country:US
Practice Address - Phone:501-830-2020
Practice Address - Fax:501-904-3838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical