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Organization

SPARKS REGIONAL MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON WHITE (DIRECTOR)
(479) 441-5032
Entity
Organization

Contact information

Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-5361
(479) 441-4868
Mailing address
PO BOX 1824, FORT SMITH, AR 72902-1824
(479) 709-7399
(479) 709-7053

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
AR

Other

Enumeration date
03/24/2008
Last updated
03/24/2008
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