Organization
SPARKS MEDICAL FOUNDATION
Active
Other names
Sparks Preferred Clinic-South
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA COX (CBO SUPPORT MANAGER)
(479) 709-7057
Entity
Organization
Contact information
Practice address
8600 S 36TH TER, FORT SMITH, AR 72908-8768
(479) 709-7473
(479) 709-7466
Mailing address
PO BOX 2420, FORT SMITH, AR 72902-2420
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AR
Other
Enumeration date
09/25/2006
Last updated
05/01/2008
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