NPIMap

Sgoh Acquisition Inc

A Medicare group practice based in Gravette, AR: 16 NPIs enrolled under one PECOS associate control ID (PAC ID 5092616276), with 194 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5092616276The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Hospital Department(S)
Enrolled in
AR, KS, MO
Enrollments
19
Group size
95 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
37In 19 places

Enrollment records 19

Enrollment IDStateProvider typeNPI
O20040205000647 MO Part B Supplier - Clinic/Group Practice 1114924768
O20081016000559 AR Part B Supplier - Hospital Department(S) 1568643005
O20080723000275 AR Part A Provider - Critical Access Hospital 1568643005
O20230627003164 MO Part A Provider - Rural Health Clinic 1942335203
O20241220000144 AR Part A Provider - Rural Health Clinic 1699513507
O20120314000557 AR Part A Provider - Critical Access Hospital 1780943357
O20220303000252 KS Part B Supplier - Clinic/Group Practice 1568643005
O20191010002373 MO Part A Provider - Rural Health Clinic 1982254371
O20190905000100 AR Part B Supplier - Clinic/Group Practice 1568643005
O20200617003148 AR Part A Provider - Rural Health Clinic 1154945483
O20150611002608 MO Part A Provider - Rural Health Clinic 1104229186
O20150206000974 AR Part A Provider - Rural Health Clinic 1225338155
O20150205000659 AR Part A Provider - Rural Health Clinic 1568502631
O20150112001888 MO Part A Provider - Rural Health Clinic 1811391717
O20140409000194 MO Part A Provider - Rural Health Clinic 1386985521
O20170206002308 AR Part A Provider - Rural Health Clinic 1972050581
O20170207000588 AR Part A Provider - Rural Health Clinic 1063969665
O20170201001862 AR Part A Provider - Rural Health Clinic 1386191989
O20170202000120 AR Part A Provider - Rural Health Clinic 1801343405

NPIs in this group 16

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 194

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (189) or whom Care Compare lists as members (95).

Sources for this page