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SAMA HEALTHCARE SERVICES PA NPI 1235290735


NPI Information

NPI: 1235290735
Provider Name: SAMA HEALTHCARE SERVICES, PA

Other Name: SOUTH ARKANSAS MEDICAL ASSOCIATES PLLC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 04D0963063

Address:
600 S TIMBERLANE DR
EL DORADO, AR
ZIP 71730
Phone: (870) 862-2400
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SAMA HEALTHCARE SERVICES, PA is a primary care clinic center in El Dorado, AR. SAMA HEALTHCARE SERVICES, PA NPI is 1235290735. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is South Arkansas Medical Associates Pllc.

The provider's business location address is:

600 S TIMBERLANE DR
EL DORADO, AR
ZIP 71730-990
Phone: (870) 862-2400
Fax: (870) 862-1891

The provider's authorized official is Pete Marshall Atkinson .
The authorized official title is Administrator and has the following contact phone number (870) 862-2400.

The CLIA number assigned to this NPI record is 04D0963063 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistNo
2261QP2300XClinic/CenterPrimary CareARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1152320002MEDICAIDARKANSAS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.