| Sparks Medical Foundation | |
|
1500 Dodson Ave Fort Smith AR 72901-5182 | |
| (479) 709-7399 | |
| (479) 709-7053 |
| Full Name | Sparks Medical Foundation |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 Dodson Ave, Fort Smith, Arkansas |
| Authorized Official Name and Position | Rebecca Friddle (SPARKS PROVIDER RELATIONS MANAGER) |
| Authorized Official Contact | 4797097057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparks Medical Foundation Po Box 2420 Fort Smith AR 72902-2420 Ph: (479) 709-7399 | Sparks Medical Foundation 1500 Dodson Ave Fort Smith AR 72901-5182 Ph: (479) 709-7399 |
| NPI Number | 1386634285 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 10/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386634285 | NPI | - | NPPES |
| 100706990J | Medicaid | OK | |
| 155188002 | Medicaid | AR |
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