# SGOH ACQUISITION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OCH BENTON COUNTY CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154945483
- **Authorized official:** PAUL G TAYLOR (CEO)
- **Authorized official phone:** (417) 837-4004

## Contact information

- **Practice address:** 102 RUSSELL ROAD, ROGERS, AR 72756
- **Practice address phone:** (479) 278-7189
- **Practice address fax:** (479) 278-2199
- **Mailing address:** 102 RUSSELL ROAD, ROGERS, AR 72756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/02/2020
- **Last updated:** 06/12/2020