Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bentonville Endoscopy Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1013731397

Bentonville Endoscopy Center, LLC is an Ambulatory Surgical Clinic/Center in Bentonville, Arkansas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3700 SE Dodson Rd Ste #4
Bentonville, AR 72712
Phone: (817) 893-2381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1013731397
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Gi Alliance Acquisition, LLC
Authorized official Kelly Rouvaldt — Director Of Ascs · (817) 893-2381
Other names Bentonville Endoscopy Center
NPI enumeratedNovember 13, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 8, 2024
Mailing address550 Reserve St Ste 550, Southlake, TX 76092-1604

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