Provider Demographics
NPI:1013522127
Name:SARC BY HSH ASC PINE BLUFF, LLC
Entity Type:Organization
Organization Name:SARC BY HSH ASC PINE BLUFF, LLC
Other - Org Name:SARC BY HSH ASC PINE BLUFF LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:MUNSIF
Authorized Official - Last Name:BUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-777-2283
Mailing Address - Street 1:7200 S HAZEL ST
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-7836
Mailing Address - Country:US
Mailing Address - Phone:870-939-6380
Mailing Address - Fax:870-534-9726
Practice Address - Street 1:7200 S HAZEL ST
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-7836
Practice Address - Country:US
Practice Address - Phone:870-939-6380
Practice Address - Fax:870-534-9726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology