STATE LINE SURGICAL SERVICES, LLC (NPI# 1003050444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003050444 |
| Entity Type | Organization |
| Organization Name | STATE LINE SURGICAL SERVICES, LLC |
| Practice Address |
1310 Eastside Centre Ct # 6-142 Mountain Home AR 72653-2705 |
| Mailing Address |
6339 E Speedway Blvd Ste 201 Tucson AZ 85710-1147 |
| Practice Telephone | 5203238732 |
| Practice Fax Number | 5205471865 |
| Mailing Telephone | 5203238732 |
| Mailing Fax Number | 5205471865 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2015-12-16 |
| Authorized Official Name | LACEY DINH (REVENUE CYCLE MANAGER OF ABS) |
| Authorized Official Telephone | 5202580326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | AR | Managed Care Organizations |
| Street Address |
1310 EASTSIDE CENTRE CT # 6-142 |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477880433 | Toad Suck Surgical Services, LLC | Clinic/Center | 1310 Eastside Centre Ct # 6-142, Mountain Home, AR 72653-2705 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (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. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982144929 | Chiropractic, Acupuncture, & Metabolic Professionals | Health Maintenance Organization | 203 Towne Park Rd, Unit E, Springdale, AR 72762-1300 | 2017-02-23 |
| 1295133791 | Correct Care Solutions | Health Maintenance Organization | 6814 Princeton Pike, Pine Bluff, AR 71602-9411 | 2014-12-15 |
| 1194068734 | W.a. Lucky LLC. | Health Maintenance Organization | 1753 N College Ave, Ste. 100, Fayetteville, AR 72703-2650 | 2013-04-02 |
| 1346513637 | Full Potential | Health Maintenance Organization | 1032 Skyline Dr, Alexander, AR 72002-1749 | 2012-02-16 |
| 1730450826 | Full Potential | Health Maintenance Organization | 4 Park Dr, Bryant, AR 72022-2940 | 2012-01-20 |
| 1396036018 | All Smiles | Health Maintenance Organization | 2940 Harrison St, Batesville, AR 72501-7513 | 2011-04-28 |
| 1902105984 | Senior Dental Care LLC. | Health Maintenance Organization | 25 Rahling Cir Ste C, Little Rock, AR 72223-9194 | 2011-03-16 |
| 1437382322 | Kings's Kids Learning Center, LLC | Health Maintenance Organization | 10610 Chicot Rd, Mabelvale, AR 72103-2200 | 2009-08-26 |
| 1942400312 | Memory Medical | Health Maintenance Organization | 129 N Vaughn Rd, Fayetteville, AR 72701-0524 | 2007-07-23 |
| 1912129859 | George M Dunn Jr Od Pa | Health Maintenance Organization | 310 W 22nd St Ste 1, Stuttgart, AR 72160-6652 | 2007-05-02 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.