Organization Active NPI

Sarc by HSH ASC Pine Bluff, LLC

  • Ambulatory Surgical Clinic/Center
  • Pine Bluff, AR
National Provider Identifier
1013522127
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Jul 21, 2023

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2194589Sarc by HSH ASC Pine Bluff7200 S Hazel St, Pine Bluff, AR 71603Certificate of waiverSep 30, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.