SPARK LLC NPI 1285402479

NPI Information

  • NPI: 1285402479
  • Provider Name: SPARK LLC
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 323 WALNUT ST STE A
    LAWRENCEBURG, IN
    ZIP 47025
  • Phone: (419) 233-3061

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NPI Details

SPARK LLC is a community health clinic center in Lawrenceburg, IN. SPARK LLC NPI is 1285402479. The provider is registered as an organization entity type.

The provider's business location address is:

323 WALNUT ST STE A
LAWRENCEBURG, IN
ZIP 47025-841
Phone: (419) 233-3061

The provider's authorized official is Kara J Goode .
The authorized official title is Social Worker/owner and has the following contact phone number (419) 233-3061.

The enumeration date for this NPI number is 12/18/2023 and was last updated on 12/18/2023.

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
1261QC1500XClinic/CenterCommunity HealthYes

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: 11/21/2025

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