SPARKS HEALTHCARE CLINIC NPI 1396498853

NPI Information

NPI: 1396498853
Provider Name: SPARKS HEALTHCARE CLINIC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 01D2258204

Address:
3503 MEMORIAL PKWY NW STE D
HUNTSVILLE, AL
ZIP 35810
Phone: (205) 442-6541
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SPARKS HEALTHCARE CLINIC is an adult health nurse practitioner in Huntsville, AL. SPARKS HEALTHCARE CLINIC NPI is 1396498853. The provider is registered as an organization entity type.

The provider's business location address is:

3503 MEMORIAL PKWY NW STE D
HUNTSVILLE, AL
ZIP 35810-445
Phone: (205) 442-6541

The provider's authorized official is Mary E Sparks .
The authorized official title is Crnp/owner and has the following contact phone number (205) 442-6541.

The CLIA number assigned to this NPI record is 01D2258204 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2022 and was last updated on 5/26/2022.

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	Primary
1	261QH0100X	Clinic/Center	Health Service	No
2	363LA2100X	Nurse Practitioner	Acute Care	No
3	363LG0600X	Nurse Practitioner	Gerontology	No
4	363LA2200X	Nurse Practitioner	Adult Health	Yes

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

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