NPIMap

Organization Active NPI

Sparks Regional Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Fort Smith, AR
National Provider Identifier
1992804967
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPARKS REGIONAL MEDICAL CENTER
Practice address
1001 Towson Ave
Fort Smith, AR 72901-4921
Phone
(479) 709-7435
Fax
(479) 709-7437
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Rebecca Friddle
Title
Sparks Provider Relations Manager
Phone
(479) 709-7057

Specialties & licenses 1

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

Addresses

Primary practice location

1001 Towson Ave
Fort Smith, AR 72901-4921

Mailing address

PO Box 1824
Fort Smith, AR 72902-1824
Phone (479) 709-7399

Other identifiers 1

IdentifierTypeStateIssuer
4454530027OtherARM-CARE DME

Other names 1

  • Cancer 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": "1257811200000",
    "number": "1992804967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1824",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729021824",
            "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": "1001 TOWSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014921",
            "telephone_number": "479-709-7435",
            "fax_number": "479-709-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "FRIDDLE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "SPARKS PROVIDER RELATIONS 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": "4454530027",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer 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 Nov 10, 2009; 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.