MOUNTAIN HOME SURGERY CENTER NPI 1205978780

NPI Information

  • NPI: 1205978780
  • Provider Name: MOUNTAIN HOME SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 360 HIGHWAY 5 N
    MOUNTAIN HOME, AR
    ZIP 72653
  • Phone: (870) 425-2277

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NPI Details

MOUNTAIN HOME SURGERY CENTER is an ambulatory surgical clinic center in Mountain Home, AR. MOUNTAIN HOME SURGERY CENTER NPI is 1205978780. The provider is registered as an organization entity type.

The provider's business location address is:

360 HIGHWAY 5 N
MOUNTAIN HOME, AR
ZIP 72653-039
Phone: (870) 425-2277
Fax: (870) 425-2021

The provider's authorized official is Kenneth Allan Jones .
The authorized official title is President and has the following contact phone number (870) 425-2277.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Removal of growth of tendon finger or hand (HCPCS:26160)

The enumeration date for this NPI number is 2/13/2007 and was last updated on 2/8/2014.

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
1261QA1903XClinic/CenterAmbulatory Surgical2345ARKANSASYes

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
1194829128MEDICAIDARKANSAS
22345OTHERARKANSASSTATE LICENSE NUMBER
311017MEDICARE PINARKANSAS
4118386128MEDICAIDARKANSAS

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: 11/21/2025

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