SPARKS MEDICAL FOUNDATION (NPI# 1174627665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174627665 |
| Entity Type | Organization |
| Organization Name | SPARKS MEDICAL FOUNDATION |
| Other Organization Name | SPARKS PEDIATRIC CLINIC |
| Practice Address |
2901 S 74th St Fort Smith AR 72903-5156 |
| Mailing Address |
Po Box 2420 Fort Smith AR 72902-2420 |
| Practice Telephone | 4797097337 |
| Practice Fax Number | 4797097461 |
| Mailing Telephone | 4797097399 |
| Mailing Fax Number | 4797097053 |
| Enumeration Date | 2006-09-13 |
| 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 |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | M-CARE DME | 4454530036 | 01 |
| Other Name | Type Code |
|---|---|
| Sparks Pediatric 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 |
| 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 |
| 1043310451 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 8600 S 36th Ter, Fort Smith, AR 72908-8768 | 2006-09-25 |
| Street Address |
2901 S 74TH ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-5156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790258002 | Mercy Clinic Fort Smith Communities | Internal Medicine | 2901 S 74th St, Fort Smith, AR 72903-5156 | 2019-01-09 |
| 1285916627 | Aashish Neupane | Internal Medicine | 2901 S 74th St, Fort Smith, AR 72903-5156 | 2011-09-12 |
| 1174814727 | Emily Anne Williams | Emergency Medicine | 2901 S 74th St, Fort Smith, AR 72903-5156 | 2011-04-29 |
| 1902073620 | Mercy Clinic Fort Smith Communities | Clinic/Center | 2901 S 74th St, Fort Smith, AR 72903-5156 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| 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 |
|---|---|---|---|---|
| 1477185130 | Jarrad Johnson | Durable Medical Equipment & Medical Supplies | 3017 Glen Flora Way, Fort Smith, AR 72908-9307 | 2020-02-10 |
| 1083193841 | Ki Upchurch | Durable Medical Equipment & Medical Supplies | 3514 Country Club Ave Ste 6, Fort Smith, AR 72903-3300 | 2018-08-11 |
| 1558741611 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8600 Highway 71 S, Fort Smith, AR 72908-8042 | 2015-06-04 |
| 1902299571 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3111 S 70th St Ste 100, Fort Smith, AR 72903-5017 | 2015-03-06 |
| 1457603433 | Western Arkansas Medical LLC | Durable Medical Equipment & Medical Supplies | 3220 S 28th St, Fort Smith, AR 72901-6904 | 2012-10-15 |
| 1982983862 | Kabafusion Ar, LLC | Durable Medical Equipment & Medical Supplies | 4015 Massard Rd, Fort Smith, AR 72903 | 2011-08-10 |
| 1255571154 | Union Medical Supply,llc | Durable Medical Equipment & Medical Supplies | 3401 S 79th St, Fort Smith, AR 72903-6203 | 2009-03-05 |
| 1538317987 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4001 Phoenix Ave, Fort Smith, AR 72903-6099 | 2008-08-28 |
| 1871762930 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1504 Dodson Ave, Fort Smith, AR 72901-5128 | 2008-02-22 |
| 1578731642 | St. Edward Mercy Medical Center | Durable Medical Equipment & Medical Supplies | 7301 Rogers Ave # B, Fort Smith, AR 72903-4100 | 2008-02-12 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on SPARKS MEDICAL FOUNDATION.
| 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.