Healthcare Provider Details

I. General information

NPI: 1851364608
Provider Name (Legal Business Name): HOT SPRINGS SURGERY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 MALVERN AVE SUITE 201
HOT SPRINGS AR
71901-7759
US

IV. Provider business mailing address

1900 MALVERN AVE SUITE 201
HOT SPRINGS AR
71901-7759
US

V. Phone/Fax

Practice location:
  • Phone: 501-624-5700
  • Fax: 501-624-6519
Mailing address:
  • Phone: 501-624-5700
  • Fax: 501-624-6519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberC4921
License Number StateAR

VIII. Authorized Official

Name: JAMES WILLOUGHBY CAMPBELL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 501-624-5700