MOUNTAIN HOME SURGERY CENTER INC. NPI 1497029466

NPI Information

NPI: 1497029466
Provider Name: MOUNTAIN HOME SURGERY CENTER, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 04D0642342

Address:
360 HIGHWAY 5 N
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 425-2277
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MOUNTAIN HOME SURGERY CENTER, INC. is an ambulatory surgical clinic center in Mountain Home, AR. MOUNTAIN HOME SURGERY CENTER, INC. NPI is 1497029466. 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 Jones .
The authorized official title is Owner and has the following contact phone number (870) 425-2277.

The CLIA number assigned to this NPI record is 04D0642342 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2012 and was last updated on 3/8/2012.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	2345	ARKANSAS	Yes

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

NPI Synchronization or Removal

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