NPI: 1477178879 · FAYETTEVILLE, AR 72703 · Ambulatory Surgical Clinic/Center · NPI assigned 06/11/2020
| Authorized Official | YOUNG, KELLI (ADMINSITRATOR) |
| NPI Enumeration Date | 06/11/2020 |
Other providers sharing the same authorized official: YOUNG, KELLI
| Provider | City | State | Total Paid |
|---|---|---|---|
| JONESBORO AMBULATORY SURGERY CENTER, LLC | JONESBORO | AR | $686K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 37 | $4K |
| 2024 | 215 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 64483 | 252 | 100 | $20K |