SAGE HEALTH ARKANSAS PLLC NPI 1366153918

NPI Information

  • NPI: 1366153918
  • Provider Name: SAGE HEALTH ARKANSAS PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 04D2277639
  • Address: 6929 JFK BLVD STE 108
    NORTH LITTLE ROCK, AR
    ZIP 72116
  • Phone: (501) 235-8295

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NPI Details

SAGE HEALTH ARKANSAS PLLC is a primary care clinic center in North Little Rock, AR. SAGE HEALTH ARKANSAS PLLC NPI is 1366153918. The provider is registered as an organization entity type.

The provider's business location address is:

6929 JFK BLVD STE 108
NORTH LITTLE ROCK, AR
ZIP 72116-312
Phone: (501) 235-8295

The provider's authorized official is John Haskell .
The authorized official title is Chief Executive Office and has the following contact phone number (615) 988-9771.

The CLIA number assigned to this NPI record is 04D2277639 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2022 and was last updated on 8/1/2024.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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