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

NPI Status: Active since April 29, 2009

Contact Information

1310 EASTSIDE CENTRE CT # 6-142
MOUNTAIN HOME, AR
ZIP 72653
Phone: (520) 323-8732
Fax: (520) 547-1865

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  • Health Maintenance Organization

About STATE LINE SURGICAL SERVICES, LLC

This page provides the complete NPI Profile along with additional information for State Line Surgical Services, Llc, a provider established in Mountain Home, Arkansas operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1003050444 assigned on April 2009. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Lacey Dinh (Revenue Cycle Manager Of Abs)

NPI
1003050444
Provider Name
STATE LINE SURGICAL SERVICES, LLC
Entity Type
Organization
Location Address
1310 EASTSIDE CENTRE CT # 6-142 MOUNTAIN HOME, AR 72653
Location Phone
(520) 323-8732
Location Fax
(520) 547-1865
Mailing Address
6339 E SPEEDWAY BLVD STE 201 TUCSON, AZ 85710
Mailing Phone
(520) 323-8732
Mailing Fax
(520) 547-1865
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2009
Last Update Date
12-16-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License State
AR
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LACEY DINH

Authorized Official Title
REVENUE CYCLE MANAGER OF ABS
Authorized Official Phone
(520) 258-0326

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003050444, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 0 + 5 + 0 + 4 + 8 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1003050444.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
1310 EASTSIDE CENTRE CT # 6-142
MOUNTAIN HOME, AR 72653

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003050444, enumerated as an "organization" on April 29, 2009.

The provider is located at 1310 EASTSIDE CENTRE CT # 6-142 MOUNTAIN HOME, AR 72653 and the phone number is (520) 323-8732.

Health Maintenance Organization with taxonomy code 302R00000X.