Provider Demographics
NPI:1154345817
Name:SLEEP PARTNERS LLC
Entity type:Organization
Organization Name:SLEEP PARTNERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXEC DIR
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-224-5200
Mailing Address - Street 1:PO BOX 20430
Mailing Address - Street 2:
Mailing Address - City:WHITE HALL
Mailing Address - State:AR
Mailing Address - Zip Code:71612-0430
Mailing Address - Country:US
Mailing Address - Phone:501-224-5200
Mailing Address - Fax:501-224-5208
Practice Address - Street 1:501 MILLWOOD CIR STE FANDB
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6327
Practice Address - Country:US
Practice Address - Phone:501-224-5200
Practice Address - Fax:501-224-5208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F364OtherBLUE CROSS/BLUE SHIELD
AR5F364OtherBLUE CROSS/BLUE SHIELD