NPIMap

Organization Active NPI

Mountain Home Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Mountain Home, AR
National Provider Identifier
1497029466
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2345 Issued in AR
Legal business name
MOUNTAIN HOME SURGERY CENTER, INC.
Practice address
360 Highway 5 N
Mountain Home, AR 72653-3039
Phone
(870) 425-2277
Fax
(870) 425-2021
NPI assigned
Mar 8, 2012
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kenneth Jones, M.D.NPI 1568510949
Title
Owner
Phone
(870) 425-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 2345 AR Primary

Addresses

Primary practice location

360 Highway 5 N
Mountain Home, AR 72653-3039

Mailing address

360 Highway 5 N
Mountain Home, AR 72653-3039
Phone (870) 425-2277

National Provider Directory

National Provider Directory
Tax ID family
Mountain Home Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1497029466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 HIGHWAY 5 N",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533039",
            "telephone_number": "870-425-2277",
            "fax_number": "870-425-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HIGHWAY 5 N",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533039",
            "telephone_number": "870-425-2277",
            "fax_number": "870-425-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HOME SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-425-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "2345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.