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SPARKS MEDICAL FOUNDATION NPI 1174627665


NPI Information

NPI: 1174627665
Provider Name: SPARKS MEDICAL FOUNDATION

Doing Business As: SPARKS PEDIATRIC CLINIC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2901 S 74TH ST
FORT SMITH, AR
ZIP 72903
Phone: (479) 709-7337
Get Directions

SPARKS MEDICAL FOUNDATION is a durable medical equipment medical supplies in Fort Smith, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SPARKS MEDICAL FOUNDATION NPI is 1174627665. The provider is registered as an organization entity type.
The provider Is Doing Business As Sparks Pediatric Clinic.

The provider's business location address is:

2901 S 74TH ST
FORT SMITH, AR
ZIP 72903-156
Phone: (479) 709-7337
Fax: (479) 709-7461

The provider's authorized official is Rebecca Cox .
The authorized official title is Cbo Support Manager and has the following contact phone number (479) 709-7057.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14454530036OTHERARKANSASM-CARE DME

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: 11/14/2023

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