NPIMap

Organization Active NPI

Sparks Regional Medical Center

Doing business as Sparks Senior Health Center

  • Durable Medical Equipment & Medical Supplies
  • Fort Smith, AR
National Provider Identifier
1306945340
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPARKS REGIONAL MEDICAL CENTER
Doing business as
Sparks Senior Health Center
Practice address
1500 Dodson Ave
Ste 125
Fort Smith, AR 72901-5182
Phone
(479) 573-7960
Fax
(479) 573-7961
NPI assigned
Sep 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebcca Cox
Title
Cbo Support Manager
Phone
(479) 709-7057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AR Primary

Addresses

Primary practice location

1500 Dodson Ave
Ste 125
Fort Smith, AR 72901-5182

Mailing address

PO Box 1706
Fort Smith, AR 72902-1706
Phone (479) 709-7399

Other identifiers 1

IdentifierTypeStateIssuer
1249490052OtherARM-CARE DME

Other names 1

  • Sparks Senior Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sparks Regional Medical Center30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306945340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729021706",
            "telephone_number": "479-709-7399",
            "fax_number": "479-709-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DODSON AVE",
            "address_2": "STE 125",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015182",
            "telephone_number": "479-573-7960",
            "fax_number": "479-573-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "REBCCA",
        "authorized_official_title_or_position": "CBO SUPPORT MANAGER",
        "authorized_official_telephone_number": "479-709-7057"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE DME",
            "identifier": "1249490052",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparks Senior Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.