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Contact Information

SPARK
903 S 9TH STREET
LARAMIE, WY82070
 Phone: 307-399-2880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for SPARK

NPI # 1528429917
LBN Legal business name SPARK
Authorized official GINA SIGEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2016
Last updated 03/11/2016 - About 10 years ago
Identifiers
WY License # LPC-1074
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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