STATE LINE SURGICAL SERVICES, LLC
NPI 1003050444
Health Maintenance Organization in Mountain Home, AR

Active since April 29, 2009
1310 EASTSIDE CENTRE CT # 6-142, MOUNTAIN HOME, AR 72653(520) 323-8732(520) 547-1865 Get Directions Write a Review

NPPES record last updated: December 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1003050444
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSTATE LINE SURGICAL SERVICES, LLC
Location Address1310 EASTSIDE CENTRE CT # 6-142Mountain Home, AR 72653-2705
Mailing Address6339 E Speedway Blvd Ste 201Tucson, AZ 85710-1147 · (520) 323-8732 · Fax (520) 547-1865
Fax(520) 547-1865
Organization SubpartNo
Authorized OfficialLacey DinhRevenue Cycle Manager Of Abs · (520) 258-0326
Enumeration DateApril 29, 2009
Last NPPES UpdateDecember 16, 2015
NPI 1003050444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
Definition

(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.

1310 EASTSIDE CENTRE CT # 6-142, Mountain Home, AR 72653

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
1310 EASTSIDE CENTRE CT # 6-142
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 with the weekly NPPES data releases published by CMS.