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Organization
THE SURGICAL HOSPITAL OF JONESBORO
Active
Organization
THE SURGICAL HOSPITAL OF JONESBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATE MILLER (CEO)
(870) 336-1100
Entity
Organization
Contact information
Practice address
909 ENTERPRISE DR, JONESBORO, AR 72401-9201
(870) 336-1100
(870) 336-1013
Mailing address
909 ENTERPRISE DR, JONESBORO, AR 72401-9201
(870) 336-1100
(870) 336-1013
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AR4164
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10145
BCBS PART A
AR
01
—
5F081
BCBS PART B PROVIDER #
AR
Enumeration date
05/13/2006
Last updated
12/05/2007
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