Active NPI
Sarc by HSH ASC Pine Bluff, LLC
- Ambulatory Surgical Clinic/Center
- Pine Bluff, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SARC BY HSH ASC PINE BLUFF, LLC
- Practice address
- 7200 S Hazel St
Pine Bluff, AR 71603-7836 - Phone
- (870) 939-6380
- Fax
- (870) 534-9726
- NPI assigned
- Sep 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Muhammad Munsif Butt
- Title
- Practice Administrator
- Phone
- (501) 777-2283
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| Radiology Clinic/Center | 261QR0200X |
Addresses
Primary practice location
7200 S Hazel St
Pine Bluff, AR 71603-7836
Mailing address
7200 S Hazel St
Pine Bluff, AR 71603-7836
Phone (870) 939-6380
Other names 1
- SARC BY HSH ASC PINE BLUFF LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210901002630 | AR | Part B Supplier - Ambulatory Surgical Center | 9739585696 | Practice locations: Pine Bluff, AR |
Ambulatory surgical center certification: CCN 04C0001108
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Sarc By Hsh Asc Pine Bluff, Llc
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Jul 18, 2022
- Last certification
- Jun 17, 2022
- Ownership / control type
- Proprietary
- Facility address
- 7200 South Hazel St
Pine Bluff, AR 71603
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2194589 | Sarc by HSH ASC Pine Bluff | Certificate of waiver | Sep 30, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Pine Bluff, AR
- NPI 1245299924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689897600000",
"number": "1013522127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 S HAZEL ST",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716037836",
"telephone_number": "870-939-6380",
"fax_number": "870-534-9726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 S HAZEL ST",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716037836",
"telephone_number": "870-939-6380",
"fax_number": "870-534-9726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARC BY HSH ASC PINE BLUFF, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-15",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A",
"authorized_official_last_name": "BUTT",
"authorized_official_first_name": "MUHAMMAD",
"authorized_official_middle_name": "MUNSIF",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "501-777-2283",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SARC BY HSH ASC PINE BLUFF LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.