NPI Database
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Contact Information

SGOH ACQUISITION INC
1101 JACKSON ST SW
GRAVETTE, AR72736-9121
 Phone: 479-787-5291
 Fax: 479-344-6404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Access

282NC0060X A0[7] Critical Access Hospital
 

Clinic/Center

261Q00000X
 

Critical Access Hospital

261QC0050X
 

Podiatrist

213E00000X 48 Podiatry
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SGOH ACQUISITION INC

NPI # 1568643005
LBN Legal business name SGOH ACQUISITION INC
Authorized official PAUL TAYLOR - (ADMINISTRATOR/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/26/2007
Last updated 07/16/2024 - More than a year ago
Identifiers
AR License # AR4517
AR Medicaid 168370105
MO Medicaid 1568643005
OK Medicaid 200200390A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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