Harrison Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AR4367 Issued in AR

Legal business name

HARRISON SURGERY CENTER, LLC

Practice address

2943 Highway 62 W
Mountain Home, AR 72653-6535

Phone

(870) 424-3838

Fax

(870) 424-3938

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles Menschik

Title

Administrator

Phone

(870) 424-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Harrison Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Harrison, AR
  • NPI 1063415891

  7810943248

  Same PAC ID

Listed as

Harrison Surgery Center LLCCCN 04C0001067

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Harrison 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.

• Harrison Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Harrison, AR
  • NPI 1063415891
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Alex Kilgore, MD

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1285263210
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1740398445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 HIGHWAY 62 W",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726536535",
            "telephone_number": "870-424-3838",
            "fax_number": "870-424-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 HIGHWAY 62 W",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726536535",
            "telephone_number": "870-424-3838",
            "fax_number": "870-424-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "MENSCHIK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-424-4900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "AR4367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR DEPT OF HEALTH LIC",
            "identifier": "AR4367",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harps Food Stores, Inc
• Harps Food Stores, Inc.
• Anne Harris, PHARM D
• Tasha Nicole Harris, OTR L
• Zane Harris
• David Harrison, M.D.
• Sandra Haslauer, LPC
• Andrew David Hatman
• Melissa M Hayes, APRN-CNP
• Hayley Plumlee Chiropractic PLLC

• Ambulatory Surgical Clinic/Center in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Ambulatory Surgical Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.