HARRISON SURGERY CENTER LLC NPI 1063415891

NPI Information

NPI: 1063415891
Provider Name: HARRISON SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 04D1030224

Address:
105 SAWGRASS PT
HARRISON, AR
ZIP 72601
Phone: (870) 741-9700
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HARRISON SURGERY CENTER, LLC is an ambulatory surgical clinic center in Harrison, AR. HARRISON SURGERY CENTER, LLC NPI is 1063415891. The provider is registered as an organization entity type.

The provider's business location address is:

105 SAWGRASS PT
HARRISON, AR
ZIP 72601-072
Phone: (870) 741-9700

The provider's authorized official is Charles Menschik .
The authorized official title is Administrator and has the following contact phone number (870) 424-4900.

The CLIA number assigned to this NPI record is 04D1030224 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 8/19/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery			No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	AR4264	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	156046128	MEDICAID	ARKANSAS

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: 4/28/2024

NPI Synchronization or Removal

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