SPARKS MEDICAL FOUNDATION (NPI# 1104920644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104920644 |
| Entity Type | Organization |
| Organization Name | SPARKS MEDICAL FOUNDATION |
| Other Organization Name | GREENWOOD FAMILY MEDICINE CLINIC |
| Practice Address |
1480 W Center St Greenwood AR 72936-3449 |
| Mailing Address |
Po Box 2420 Fort Smith AR 72902-2420 |
| Practice Telephone | 4799965585 |
| Practice Fax Number | 4799965386 |
| Mailing Telephone | 4797097399 |
| Mailing Fax Number | 4797097053 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REBECCA COX (CBO SUPPORT MANAGER) |
| Authorized Official Telephone | 4797097057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | M-CARE DME | 4454530002 | 01 |
| Other Name | Type Code |
|---|---|
| Greenwood Family Medicine Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356448757 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 400 S 16th St, Fort Smith, AR 72901-4626 | 2006-09-20 |
| 1174627665 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 2901 S 74th St, Fort Smith, AR 72903-5156 | 2006-09-13 |
| 1447354014 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 17 S. Logan St., Charleston, AR 72933 | 2006-09-12 |
| 1669576237 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2006-09-12 |
| 1598936460 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1501 S Waldron Rd, Ste 107, Fort Smith, AR 72903-2574 | 2008-03-18 |
| 1801007372 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1500 Dodson Ave, Ste 240, Fort Smith, AR 72901-5182 | 2007-05-25 |
| 1871624759 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1001 Towson Ave, Fort Smith, AR 72901 | 2007-03-09 |
| 1144387150 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1001 Towson Ave, Fort Smith, AR 72901-4915 | 2007-01-02 |
| 1043308232 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1500 Dodson Ave, Ste 180, Fort Smith, AR 72901-5182 | 2006-10-11 |
| 1942397252 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1120 Lexington Ave, Fort Smith, AR 72901-5136 | 2006-10-06 |
| Street Address |
1480 W CENTER ST |
| City | GREENWOOD |
| State | AR |
| Zip Code | 72936-3449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308874 | Glenn G Gibbons | Family Medicine | 1480 W Center St, Greenwood, AR 72936-3449 | 2005-10-06 |
| 1861971830 | Baptist Health Services | Family Medicine | 1480 W Center St, Greenwood, AR 72936 | 2018-08-10 |
| 1669763371 | Ft Smith Hma Pbc Management, LLC | Family Medicine | 1480 W Center St, Greenwood, AR 72936-3449 | 2011-04-28 |
| 1558522193 | Megan L Schroyer | Internal Medicine | 1480 W Center St, Greenwood, AR 72936 | 2008-06-17 |
| 1811168768 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1480 W Center St, Greenwood, AR 72936-3449 | 2008-03-19 |
| 1477644979 | Wilson Javier Cruz-leal | Family Medicine | 1480 W Center St, Greenwood, AR 72936-3449 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376022988 | Sonja Kay Cooper | Pharmacist | 2708 Old Chismville Rd, Greenwood, AR 72936 | 2018-08-14 |
| 1225585201 | Henry Counseling Services | Marriage & Family Therapist | 105 North Main St., Greenwood, AR 72936 | 2016-09-07 |
| 1720316235 | Sports Plus Physical Therapy | Physical Therapist | 250 Old Hackett Road, Greenwood, AR 72936 | 2009-11-20 |
| 1285812255 | Lisa Jan Bohne Clay | Psychologist | 2711 Shadow Lake Dr, Greenwood, AR 72936 | 2008-02-01 |
| 1366639684 | Rhonda Michele Barnes | Social Worker | 300 Westwood Ave, Greenwood, AR 72936 | 2007-10-01 |
| 1619018793 | Robert Gary Mack II | Contractor | 2712 Edgewater Drive, Greenwood, AR 72936 | 2007-02-09 |
| 1003963075 | Brent Wade Dunavin | Dentist | 7 W Center Street, Greenwood, AR 72936 | 2007-01-04 |
| 1891851804 | James A Burgess Jr. | Dentist | 7 West Center, Greenwood, AR 72936 | 2006-12-28 |
| 1467512079 | Terrell Wayne Bailey | Dentist | 520 Hamilton Lane, Greenwood, AR 72936 | 2006-12-12 |
| 1801808837 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1530 W Center, Greenwood, AR 72936 | 2006-08-11 |
| Find all providers in zip 72936 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831673003 | Franciscan Health Olympia Fields & Chicago Heights | Durable Medical Equipment & Medical Supplies | 1040 Greenwood Springs Blvd Ste 2c, Greenwood, IN 46143-7975 | 2018-09-24 |
| 1790297836 | Richard Bador Brooks | Durable Medical Equipment & Medical Supplies | 637 Brookview Dr, Greenwood, IN 46142-1802 | 2017-10-30 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1770960247 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 300 Bypass 25 Ne, Greenwood, SC 29646-3009 | 2015-05-04 |
| 1811388630 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 882 S State Road 135, Greenwood, IN 46143-9412 | 2015-02-16 |
| 1760721666 | Diaper Man LLC | Durable Medical Equipment & Medical Supplies | 400 E Jefferson Ave, Greenwood, MS 38930-3619 | 2013-02-12 |
| 1437498672 | Home Health Depot, Inc. | Durable Medical Equipment & Medical Supplies | 1052 Greenwood Springs Blvd, Suite H, Greenwood, IN 46143-6895 | 2013-02-07 |
| 1093085896 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 150 S Marlin Dr, Greenwood, IN 46142-1451 | 2012-01-10 |
| 1891002663 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 402 Market Place Dr., Greenwood, IN 46142 | 2010-09-01 |
| 1316279979 | Greenwood Home Medical Supplies | Durable Medical Equipment & Medical Supplies | 108 Enterprise Ct, Greenwood, SC 29649-1666 | 2010-02-08 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.