SPARKLE STARR CLARK NPI 1194347302

NPI Information

NPI: 1194347302
Provider Name: SPARKLE STARR CLARK
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Individual
Address:
9 DAISY ST
ROCHESTER, NY
ZIP 14615
Phone: (585) 208-9280
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Sparkle Starr Clark is a non emergency medical transport van in Rochester, NY. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. Sparkle Starr Clark NPI is 1194347302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9 DAISY ST
ROCHESTER, NY
ZIP 14615-610
Phone: (585) 208-9280

The enumeration date for this NPI number is 5/11/2020 and was last updated on 5/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)		670358397	NEW YORK	Yes
2	343900000X	Non-emergency Medical Transport (VAN)			NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05097269	OTHER	NEW YORK	PROVIDER ID
2	05097269	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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