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

River Valley Surgery Center PLLC

Organization Ambulatory Surgical Clinic/Center · NPI 1053037218

River Valley Surgery Center PLLC is an Ambulatory Surgical Clinic/Center in Russellville, Arkansas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3110 W Main St
Russellville, AR 72801-2455
Phone: (479) 967-7770
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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 number1053037218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ahmad Rafi — Owner · (479) 967-7770
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address3110 W Main St, Russellville, AR 72801-2455

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