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Contact Information

SPARKS REGIONAL MEDICAL CENTER
1500 DODSON AVE
STE 125
FORT SMITH, AR72901-5182
 Phone: 479-573-7960
 Fax: 479-573-7961
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SPARKS REGIONAL MEDICAL CENTER · (Female)

NPI Number 1669462461
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2005
Last updated 06/05/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 150325002
  • OK Medicaid 100698680W
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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