State Line Surgical Services, Llc

LBN: State Line Surgical Services, Llc
State Line Surgical Services, Llc is an health care organization with primary practice located at 1310 Eastside Centre Ct # 6-142 , Mountain Home AR 72653-2705. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. State Line Surgical Services, Llc can be contacted via phone (520) 323-8732, or through Dinh, Lacey via phone (520) 258-0326.

Contact Information

Primary practice address
1310 Eastside Centre Ct # 6-142 Mountain Home AR 72653-2705
Phone: (520) 323-8732
Fax: (520) 547-1865
Website:
Map and Directions
Authorized official contact:
Name: Dinh, Lacey
Phone: (520) 258-0326

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X Arkansas

Profile Details

NPI number 1003050444
LBN Legal business name State Line Surgical Services, Llc
DBA Doing business as
Authorized official Dinh, Lacey
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2009
Last updated Dec 16th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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