SGOH ACQUISITION INC NPI 1154945483

NPI Information

  • NPI: 1154945483
  • Provider Name: SGOH ACQUISITION INC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: OCH BENTON COUNTY CLINIC
  • CLIA Number: 04D2186272
  • Address: 102 RUSSELL ROAD
    ROGERS, AR
    ZIP 72756
  • Phone: (479) 278-7189

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NPI Details

SGOH ACQUISITION INC is a rural health clinic center in Rogers, AR. SGOH ACQUISITION INC NPI is 1154945483. The provider is registered as an organization entity type.
The provider Is Doing Business As Och Benton County Clinic.

The provider's business location address is:

102 RUSSELL ROAD
ROGERS, AR
ZIP 72756
Phone: (479) 278-7189
Fax: (479) 278-2199

The provider's authorized official is Paul G Taylor .
The authorized official title is Ceo and has the following contact phone number (417) 837-4004.

The CLIA number assigned to this NPI record is 04D2186272 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2020 and was last updated on 6/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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