Twin Lakes Surgery Center, Llc

LBN: Twin Lakes Surgery Center, Llc
Twin Lakes Surgery Center, Llc is an health care organization with primary practice located at 525 Burnett Dr , Mountain Home AR 72653-2940. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Twin Lakes Surgery Center, Llc can be contacted via phone (870) 425-6213, or through Sandvos, Richard via phone (870) 425-6212.

Contact Information

Primary practice address
525 Burnett Dr Mountain Home AR 72653-2940
Phone: (870) 425-6213
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sandvos, Richard
Phone: (870) 425-6212

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1972895613
LBN Legal business name Twin Lakes Surgery Center, Llc
DBA Doing business as
Authorized official Sandvos, Richard
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2011
Last updated Aug 16th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972895613 NPPES
Arkansas MEDICAID 196925128
Arkansas Other P01174719

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