Organization
THE SURGICAL HOSPITAL OF JONESBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATE MILLER (CFO)
(870) 336-1100
Entity
Organization
Contact information
Practice address
909 ENTERPRISE DR, JONESBORO, AR 72401-9201
(870) 336-1100
(870) 336-1134
Mailing address
PO BOX 25943, OKLAHOMA CITY, OK 73125-0943
(870) 336-1100
(870) 336-1134
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
BLUE CROSS BLUE SHIELD
AR
Enumeration date
03/22/2007
Last updated
08/22/2020
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