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Organization
SPARKS MEDICAL FOUNDATION
Active
Organization
SPARKS MEDICAL FOUNDATION
Active
Other names
Greenwood Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA COX (CBO SUPPORT MANAGER)
(479) 709-7057
Entity
Organization
Contact information
Practice address
1480 W CENTER ST, GREENWOOD, AR 72936-3449
(479) 996-5585
(479) 996-5386
Mailing address
PO BOX 2420, FORT SMITH, AR 72902-2420
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4454530002
M-CARE DME
AR
Enumeration date
09/12/2006
Last updated
09/11/2025
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