| Organization Name: | HARRISON SURGERY CENTER, LLC |
| NPI Number: | 1063415891 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH MERLE KILGORE (OWNER/PRESIDENT) |
| Mailing Address: | 105 Sawgrass Pt Harrison |
| State: | AR US |
| Postal Code: | 726013072 |
| Phone Number: | 8707419700 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2005 |
| NPI Last Update Date: | 01/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | AR4264 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |