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STATE LINE SURGICAL SERVICES LLC NPI 1003050444


NPI Information

NPI: 1003050444
Provider Name: STATE LINE SURGICAL SERVICES, LLC
Classification: Health Maintenance Organization - 302R00000X
Entity Type: Organization
Address:
1310 EASTSIDE CENTRE CT # 6-142
MOUNTAIN HOME, AR
ZIP 72653
Phone: (520) 323-8732
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STATE LINE SURGICAL SERVICES, LLC is a health maintenance organization in Mountain Home, AR. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. STATE LINE SURGICAL SERVICES, LLC NPI is 1003050444. The provider is registered as an organization entity type.

The provider's business location address is:

1310 EASTSIDE CENTRE CT # 6-142
MOUNTAIN HOME, AR
ZIP 72653-705
Phone: (520) 323-8732
Fax: (520) 547-1865

The provider's authorized official is Lacey Dinh .
The authorized official title is Revenue Cycle Manager Of Abs and has the following contact phone number (520) 258-0326.

The enumeration date for this NPI number is 4/29/2009 and was last updated on 12/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1302R00000XHealth Maintenance OrganizationARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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