Organization
MOUNTAIN HOME SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ALLAN JONES M.D. (PRESIDENT)
(870) 425-2277
Entity
Organization
Contact information
Practice address
360 HIGHWAY 5 N, MOUNTAIN HOME, AR 72653-3039
(870) 425-2277
(870) 425-2021
Mailing address
360 HIGHWAY 5 N, MOUNTAIN HOME, AR 72653-3039
(870) 425-2277
(870) 425-2021
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2345
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118386128
—
AR
05
—
194829128
—
AR
01
—
2345
STATE LICENSE NUMBER
AR
Enumeration date
02/13/2007
Last updated
02/08/2014
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