Organization Active NPI

Eragon Precision Health LLC

  • Health Service Clinic/Center
  • Pine Bluff, AR
National Provider Identifier
1639978950
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ERAGON PRECISION HEALTH LLC
Practice address
2501 Sheffield Drive
Pine Bluff, AR 71603
Phone
(479) 448-5929
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Rosie L. RiceNPI 1295536936
Title
Administrator
Phone
(501) 786-1759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2501 Sheffield Drive
Pine Bluff, AR 71603

Mailing address

400 W Capitol Avenue
Ste 1700 PNB 2587
Little Rock, AR 72201-3438
Phone (479) 448-5929

Other identifiers 2

IdentifierTypeStateIssuer
1932872975MedicaidAR
1477549756MedicaidAR

Other names 1

  • Eragon Health Solutions LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL CommonWell Health Information Exchange (HIE) THE UNIVERSITY HOSPITAL OF ARKANSAS

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": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1639978950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CAPITOL AVENUE",
            "address_2": "STE 1700 PNB 2587",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013438",
            "telephone_number": "479-448-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SHEFFIELD DRIVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "479-448-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERAGON PRECISION HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-786-1759",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932872975",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477549756",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "CommonWell",
            "affiliation": "Y",
            "affiliationName": "THE UNIVERSITY HOSPITAL OF ARKANSAS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Histories",
            "address_1": "400 W Capitol Avenue",
            "address_2": "Suite 1700 PNB 2587",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722013438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eragon Health Solutions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.