Basic Information
Provider Information
NPI: 1457352882
EntityType: 2
ReplacementNPI:  
OrganizationName: BEC SURGERY CENTER
LastName:  
FirstName:  
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Credential:  
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Mailing Information
Address1: PO BOX 21850
Address2:  
City: HOT SPRINGS
State: AR
PostalCode: 719031850
CountryCode: US
TelephoneNumber: 5016271800
FaxNumber: 5016271899
Practice Location
Address1: 1 MERCY LN
Address2: STE 601
City: HOT SPRINGS
State: AR
PostalCode: 719136442
CountryCode: US
TelephoneNumber: 5013212229
FaxNumber: 5013214057
Other Information
ProviderEnumerationDate: 08/09/2005
LastUpdateDate: 10/15/2007
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: WOOD
AuthorizedOfficialFirstName: BUNEVA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CHIEF FINANCIAL OFFICER
AuthorizedOfficialTelephone: 5013212229
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QA1903XMC1453ARY Ambulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical

No ID Information.


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