Organization
SPARKS REGIONAL MEDICAL CENTER
Active
Other names
Sparks Senior Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
REBCCA COX (CBO SUPPORT MANAGER)
(479) 709-7057
Entity
Organization
Contact information
Practice address
1500 DODSON AVE, STE 125, FORT SMITH, AR 72901-5182
(479) 573-7960
(479) 573-7961
Mailing address
PO BOX 1706, FORT SMITH, AR 72902-1706
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1249490052
M-CARE DME
AR
Enumeration date
09/22/2006
Last updated
08/22/2020
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