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SPARK HEALTH LLC NPI 1821758277


NPI Information

NPI: 1821758277
Provider Name: SPARK HEALTH, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
308 4TH AVE NW STE 4
AUSTIN, MN
ZIP 55912
Phone: (507) 279-2345
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SPARK HEALTH, LLC is a clinic center in Austin, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SPARK HEALTH, LLC NPI is 1821758277. The provider is registered as an organization entity type.

The provider's business location address is:

308 4TH AVE NW STE 4
AUSTIN, MN
ZIP 55912-085
Phone: (507) 279-2345
Fax: (833) 340-7428

The provider's authorized official is David William Strobel .
The authorized official title is Physician, Ownder and has the following contact phone number (763) 489-8979.

The enumeration date for this NPI number is 12/27/2021 and was last updated on 12/27/2021.


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
1261Q00000XClinic/CenterYes

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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