Organization
HARRISON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MENSCHIK (ADMINISTRATOR)
(870) 424-4900
Entity
Organization
Contact information
Practice address
105 SAWGRASS PT, HARRISON, AR 72601-3072
(870) 741-9700
Mailing address
105 SAWGRASS PT, HARRISON, AR 72601-3072
(870) 741-9700
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4264
AR
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156046128
—
AR
Enumeration date
05/24/2005
Last updated
08/19/2021
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