SPARKS MEDICAL FOUNDATION (NPI# 1407951486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407951486 |
| Entity Type | Organization |
| Organization Name | SPARKS MEDICAL FOUNDATION |
| Other Organization Name | SPIRO FAMILY MEDICAL |
| Practice Address |
702 W Broadway St Spiro OK 74959-2430 |
| Mailing Address |
Po Box 2420 Fort Smith AR 72902-2420 |
| Practice Telephone | 9189622442 |
| Practice Fax Number | 9189623895 |
| Mailing Telephone | 4797097399 |
| Mailing Fax Number | 4797097053 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REBECCA COX (CBO SUPPORT MANAGER) |
| Authorized Official Telephone | 4797097057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | M-CARE DME | 4454530040 | 01 |
| Other Name | Type Code |
|---|---|
| Spiro Family Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356448757 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 400 S 16th St, Fort Smith, AR 72901-4626 | 2006-09-20 |
| 1174627665 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 2901 S 74th St, Fort Smith, AR 72903-5156 | 2006-09-13 |
| 1447354014 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 17 S. Logan St., Charleston, AR 72933 | 2006-09-12 |
| 1669576237 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 4700 Kelley Hwy, Fort Smith, AR 72904-5024 | 2006-09-12 |
| 1598936460 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1501 S Waldron Rd, Ste 107, Fort Smith, AR 72903-2574 | 2008-03-18 |
| 1801007372 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1500 Dodson Ave, Ste 240, Fort Smith, AR 72901-5182 | 2007-05-25 |
| 1871624759 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1001 Towson Ave, Fort Smith, AR 72901 | 2007-03-09 |
| 1144387150 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1001 Towson Ave, Fort Smith, AR 72901-4915 | 2007-01-02 |
| 1043308232 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1500 Dodson Ave, Ste 180, Fort Smith, AR 72901-5182 | 2006-10-11 |
| 1942397252 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1120 Lexington Ave, Fort Smith, AR 72901-5136 | 2006-10-06 |
| Street Address |
702 W BROADWAY ST |
| City | SPIRO |
| State | OK |
| Zip Code | 74959-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336137728 | Robert C Williams | Family Medicine | 702 W Broadway St, Spiro, OK 74959-2430 | 2005-10-10 |
| 1891350104 | Osu Center for Health Sciences | Clinic/Center | 702 W Broadway St, Spiro, OK 74959-2430 | 2019-05-02 |
| 1346724887 | Nata Matthews | Nurse Practitioner | 702 W Broadway St, Spiro, OK 74959-2430 | 2018-09-20 |
| 1578042404 | Baptist Health Services | Family Medicine | 702 W Broadway St, Spiro, OK 74959 | 2018-08-10 |
| 1356693048 | Arveitta Yvonne Edge | Family Medicine | 702 W Broadway St, Spiro, OK 74959-2430 | 2012-10-05 |
| 1811288525 | Ft Smith Hma Pbc Management, LLC | Physician Assistant | 702 W Broadway St, Spiro, OK 74959-2430 | 2011-04-28 |
| 1558693457 | Osu Center for Health Sciences | Clinic/Center | 702 W Broadway St, Spiro, OK 74959-2430 | 2010-02-03 |
| 1023057668 | Linda M Rodriguez | Family Medicine | 702 W Broadway St, Spiro, OK 74959-2430 | 2006-06-06 |
| 1063489854 | Nancy R. Duncan-larry | Physician Assistant | 702 W Broadway St, Spiro, OK 74959-2430 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891148292 | Regan Lynn Huff | Case Manager/Care Coordinator | 228822 Racetrack Road, Spiro, OK 74959 | 2016-07-20 |
| 1891920211 | Compassion Home Care, Inc. | Home Health | 19409 Us Hwy 271, Spiro, OK 74959 | 2009-05-29 |
| 1487149043 | River Valley Primary Care, L.L.C. | Family Medicine | 107 W Broadway St, Spiro, OK 74959-2417 | 2018-06-26 |
| 1821181264 | Dedmon Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 213 W Broadway St, Spiro, OK 74959-2419 | 2006-09-30 |
| 1326508706 | Dedmon Pharmacy Inc | Pharmacy | 213 W Broadway St, Spiro, OK 74959-2419 | 2019-03-22 |
| 1497881098 | Bradley Wayne Dedmon | Pharmacist | 213 W Broadway St, Spiro, OK 74959-2419 | 2007-02-26 |
| 1922147834 | Danielle Loren Dedmon | Pharmacist | 213 W Broadway St, Spiro, OK 74959-2419 | 2007-02-06 |
| 1205822681 | Keifer Layne Fisher | Dentist | 318 W Broadway St, Spiro, OK 74959-2422 | 2005-09-21 |
| 1730277740 | Spiro Family Dental P.C. | Clinic/Center | 318 W Broadway St, Spiro, OK 74959-2422 | 2006-10-11 |
| 1770848004 | Spiro Public Schools | Speech-Language Pathologist | 600 W Broadway St, Spiro, OK 74959-2428 | 2012-07-12 |
| Find all providers in zip 74959 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477065688 | Danny Upchurch | Durable Medical Equipment & Medical Supplies | 19656 Us Highway 271, Spiro, OK 74959-4454 | 2017-10-27 |
| 1821181264 | Dedmon Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 213 W Broadway St, Spiro, OK 74959-2419 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870700 | Madison Medical, LLC | Durable Medical Equipment & Medical Supplies | 701 Cedar Lake Blvd Ste 151, Oklahoma City, OK 73114-7818 | 2020-10-28 |
| 1962013938 | Oklahoma Sleep Group LLC | Durable Medical Equipment & Medical Supplies | 2900 Nw 156th St, Edmond, OK 73013-2102 | 2020-08-13 |
| 1912516469 | Nature's Assist, LLC | Durable Medical Equipment & Medical Supplies | 4815 S Harvard Ave Ste 501, Tulsa, OK 74135-3069 | 2020-07-29 |
| 1144838392 | A Better Sleep LLC | Durable Medical Equipment & Medical Supplies | 5215 E 71st St Ste 1900, Tulsa, OK 74136-6347 | 2020-07-14 |
| 1033737606 | Redbud Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 12641 S Highway 51, Coweta, OK 74429 | 2020-07-10 |
| 1023632122 | Craig Mathew Hall | Durable Medical Equipment & Medical Supplies | 2540 N Moore Ave, Moore, OK 73160-3328 | 2020-06-04 |
| 1083236269 | Kareemah Mahasan Muhammad | Durable Medical Equipment & Medical Supplies | 1127 N Osage Dr, Tulsa, OK 74106-6909 | 2020-05-11 |
| 1154942654 | Priority Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 517 S 30th St, Clinton, OK 73601-3632 | 2020-05-06 |
| 1679193882 | Lil Dme LLC | Durable Medical Equipment & Medical Supplies | 20 E 9th St Ste 101, Shawnee, OK 74801-6987 | 2020-04-17 |
| 1609405950 | Alpine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 738 E 8th St, Warner, OK 74469-7446 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.