MEDICARE: FIANNA HILLS SURGERY CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1083206866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIANNA HILLS SURGERY CENTER INC

Provider Business Mailing Address
First Line	:	9001 JENNY LIND RD STE 1
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72908-8629
Country	:	US
Telephone Number	:	479-385-9009
Fax Number	:	479-289-5441

Provider Business Practice Location Address
First Line	:	9001 JENNY LIND RD STE 1
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72908-8629
Country	:	US
Telephone Number	:	479-385-9003
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOSEPH E MILLER
Credential	:	MD
Telephone Number	:	479-385-9001

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	05/12/2026

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