Organization
HARRISON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MENSCHIK (ADMINISTRATOR)
(870) 424-4900
Entity
Organization
Contact information
Practice address
2943 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-6535
(870) 424-3838
(870) 424-3938
Mailing address
2943 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-6535
(870) 424-3838
(870) 424-3938
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4367
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AR4367
AR DEPT OF HEALTH LIC
AR
Enumeration date
08/25/2006
Last updated
08/17/2021
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