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NPI Code Detail

MEDICARE: FIANNA HILLS SURGERY CENTER INC

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
1261QA1903XAmbulatory 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 : PO BOX 180728
Second Line :
City : FORT SMITH
State : AR
Zip : 72918-0728
Country : US
Telephone Number : 479-385-9003
Fax Number :
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 : PRESIDENT/PHYSICIAN
Name : JOSEPH EMILE MILLER
Credential : MD
Telephone Number : 479-385-9001
Provider Enumeration Date : 02/03/2021
Last Update Date : 02/03/2021

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Directions to “FIANNA HILLS SURGERY CENTER INC ” Practice Location

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