State Line Surgical Services, LLC
NPI 1003050444 · Health Maintenance Organization · Mountain Home, AR
State Line Surgical Services, LLC is a Health Maintenance Organization organization in Mountain Home, AR (NPI 1003050444).
Provider details
- NPI number
- 1003050444
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lacey Dinh, Revenue Cycle Manager of Abs(520) 258-0326
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-29
- Last updated
- 2015-12-16
Frequently asked questions
- What is State Line Surgical Services, LLC's NPI number?
- State Line Surgical Services, LLC's National Provider Identifier (NPI) is 1003050444, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State Line Surgical Services, LLC?
- State Line Surgical Services, LLC is classified in the NPPES registry as Health Maintenance Organization (Managed Care Organizations).
- Where is State Line Surgical Services, LLC located?
- State Line Surgical Services, LLC's practice location on file with NPPES is 1310 Eastside Centre Ct # 6-142, Mountain Home, AR 72653-2705.
- What is State Line Surgical Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for State Line Surgical Services, LLC is (520) 323-8732.
- Who is the authorized official for State Line Surgical Services, LLC?
- The authorized official listed on State Line Surgical Services, LLC's NPPES record is Lacey Dinh, Revenue Cycle Manager of Abs. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State Line Surgical Services, LLC's NPI active?
- Yes — State Line Surgical Services, LLC's NPI (1003050444) is active in the NPPES registry as of the last update on 2015-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.