Sparks Medical Foundation
LBN: Sparks Medical Foundation
Sparks Medical Foundation is an health care organization with primary practice located at 1500 Dodson Ave , Fort Smith AR 72901-5182. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pain Medicine, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Sparks Medical Foundation can be contacted via phone (479) 709-7399, or through Friddle, Rebecca via phone (479) 709-7057.
Contact Information
Primary practice address
1500 Dodson Ave
Fort Smith AR 72901-5182
Phone: (479) 709-7399
Fax: (479) 709-7053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ||
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ||
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ||
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ||
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
| NPI number | 1386634285 |
|---|---|
| LBN Legal business name | Sparks Medical Foundation |
| DBA Doing business as | |
| Authorized official | Friddle, Rebecca |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Oct 28th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386634285 | NPPES |
| Oklahoma | MEDICAID | 100706990J | |
| Oklahoma | MEDICAID | 155188002 |
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