STATE LINE SURGICAL SERVICES, LLC
NPI 1003050444
Health Maintenance Organization in Mountain Home, AR
About State Line Surgical Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE LINE SURGICAL SERVICES, LLC (NPI 1003050444) is a healthcare organization registered as a health maintenance organization in Mountain Home, Arkansas and active in the NPI registry since April 2009. The organization lists Lacey Dinh, Revenue Cycle Manager Of Abs, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNTAIN HOME, AR 72653
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is State Line Surgical Services, LLC's NPI number?
The NPI number for State Line Surgical Services, LLC is 1003050444. It was assigned to this organization in the NPPES registry on April 29, 2009.
Where is State Line Surgical Services, LLC located?
State Line Surgical Services, LLC is located at 1310 Eastside Centre Ct # 6-142, Mountain Home, AR 72653. The listed phone number is (520) 323-8732.
What is State Line Surgical Services, LLC's specialty?
The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.
When was this NPI record last updated?
The NPPES record for State Line Surgical Services, LLC was last updated on December 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.