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NPI Profile & details for SPARK LIFE SERVICES

NPI Number 1861527350
LBN Legal business name SPARK LIFE SERVICES
Authorized official AMY VOLLMER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/23/2007
Last updated 11/20/2025 - About 7 months ago
Identifiers
LA License # SIL 10445
LA Medicaid 1388033
LA Medicaid 1430242
LA Medicaid 1462187
LA Medicaid 1955892
LA Medicaid 1963224
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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