Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State Line Surgical Services, LLC

Organization Health Maintenance Organization · NPI 1003050444

State Line Surgical Services, LLC is a Health Maintenance Organization in Mountain Home, Arkansas. Licensed in Arkansas. Registered with an NPI since 2009.

Licensed in
AR
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1310 Eastside Centre Ct # 6-142
Mountain Home, AR 72653-2705
Phone: (520) 323-8732
Fax: (520) 547-1865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X (AR)

Record details

NPI number1003050444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lacey Dinh — Revenue Cycle Manager Of Abs · (520) 258-0326
NPI enumeratedApril 29, 2009
Last updated in NPPESDecember 16, 2015
Mailing address6339 E Speedway Blvd Ste 201, Tucson, AZ 85710-1147

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