| Sparker, Inc. | |
|
8857 Meta Hwy Meta Medical Center Pikeville KY 41501 | |
| (606) 631-1222 | |
| (606) 631-1226 |
| Full Name | Sparker, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 8857 Meta Hwy, Pikeville, Kentucky |
| Authorized Official Name and Position | Tyler Blaylock (OFFICE MANAGER) |
| Authorized Official Contact | 6066311222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparker, Inc. 8857 Meta Hwy Meta Medical Center Pikeville KY 41501 Ph: (606) 631-1222 | Sparker, Inc. 8857 Meta Hwy Meta Medical Center Pikeville KY 41501 Ph: (606) 631-1222 |
| NPI Number | 1134287857 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 03/17/2022 |
| Certification Date | 03/17/2022 |
| Medicare PECOS PAC ID | 5294797254 |
|---|---|
| Medicare Enrollment ID | O20041102000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134287857 | NPI | - | NPPES |
| 65942773 | Medicaid | KY |
| Provider Name | Ronnie C Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093860116 PECOS PAC ID: 8820050883 Enrollment ID: I20041102000067 |
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