SPARKS REGIONAL MEDICAL CENTER (NPI# 1992916308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992916308 |
| Entity Type | Organization |
| Organization Name | SPARKS REGIONAL MEDICAL CENTER |
| Practice Address |
1311 S I St Fort Smith AR 72901-4915 |
| Practice Telephone | 4794415365 |
| Practice Fax Number | 4794414729 |
| Mailing Telephone | 4794415365 |
| Mailing Fax Number | 4794414729 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LISA V CLARKSON (CLAIMS PROCESSING MANAGER) |
| Authorized Official Telephone | 4794415365 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | AR | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518138478 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 17 So. Logan St., Charleston, AR 72933 | 2008-03-19 |
| 1871762930 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1504 Dodson Ave, Fort Smith, AR 72901-5128 | 2008-02-22 |
| 1386816809 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 209 Pointer Trl W, Van Buren, AR 72956-2238 | 2008-03-25 |
| 1578734190 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2008-03-24 |
| 1831360452 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1500 Dodson Ave, Ste 185, Fort Smith, AR 72901-5182 | 2008-03-24 |
| 1477724094 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 408 S 16th St, Fort Smith, AR 72901-4626 | 2008-03-24 |
| 1386815900 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1500 Dodson Ave, Ste 195, Fort Smith, AR 72901-5182 | 2008-03-24 |
| 1922279546 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 3808 Gary St, Fort Smith, AR 72903-5450 | 2008-03-24 |
| 1811168768 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1480 W Center St, Greenwood, AR 72936-3449 | 2008-03-19 |
| 1124299094 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1500 Dodson Ave, Ste 250, Fort Smith, AR 72901-5182 | 2008-03-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SPARKS REGIONAL MEDICAL CENTER OF FORT SMITH, LLC | 400 W Capitol Ste 2891, Little Rock, AR 72201-3415 |
| Street Address |
1311 S I ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871533281 | Sarah Travis | Dietitian, Registered | 1311 S I St, Fort Smith, AR 72901-4915 | 2006-06-07 |
| 1417282088 | Fort Smith Hma Home Health | Home Health | 1311 S I St, Fort Smith, AR 72901-4915 | 2009-10-15 |
| 1568614881 | Clinical Partners, Pa - Arkansas | Nurse Anesthetist, Certified Registered | 1311 S I St, Fort Smith, AR 72901-4915 | 2008-10-17 |
| 1659589802 | Diana Carol Hollingshead | Occupational Therapy Assistant | 1311 S I St, Fort Smith, AR 72901-4915 | 2007-05-20 |
| 1194844779 | Donna Moreton | Dietitian, Registered | 1311 S I St, Fort Smith, AR 72901-4915 | 2007-03-28 |
| 1528029071 | James Patrick Bell | Emergency Medicine | 1311 S I St, Er Dept., Fort Smith, AR 72901-4915 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003901802 | Methodist Nursing Home of Fort Smith, Inc. | Skilled Nursing Facility | 7425 Euper Ln, Fort Smith, AR 72903 | 2006-10-04 |
| 1376562660 | Medi-home, Inc | Skilled Nursing Facility | 4623 Rogers Ave, Fort Smith, AR 72903-4623 | 2006-07-18 |
| 1740236777 | Northport Health Services of Arkansas, LLC | Skilled Nursing Facility | 3310 N 50th St, Fort Smith, AR 72904-4451 | 2006-05-25 |
| 1598710808 | Northport Health Services of Arkansas, LLC | Skilled Nursing Facility | 4500 Old Greenwood Rd, Fort Smith, AR 72903-6417 | 2006-05-24 |
| 1710974274 | Kmj Enterprises Fianna Hills LLC | Skilled Nursing Facility | 8411 S 28th St, Fort Smith, AR 72908-8646 | 2005-09-30 |
| 1568459022 | Kmj Enterprises Fort Smith Rc LLC | Skilled Nursing Facility | 5301 Wheeler Ave, Fort Smith, AR 72901-8339 | 2005-09-30 |
| 1548823727 | Qualis Strategic Network Partners, LLC | Skilled Nursing Facility | 415 Rogers Ave, Fort Smith, AR 72901-1903 | 2019-04-15 |
| 1922582477 | Waters of Fort Smith LLC | Skilled Nursing Facility | 5301 Wheeler Ave, Fort Smith, AR 72901-8339 | 2018-09-20 |
| 1174079016 | Chapel Ridge Nursing Center, LLC | Skilled Nursing Facility | 4623 Rogers Ave, Fort Smith, AR 72903-3148 | 2016-08-31 |
| 1184085417 | Highlands of Fort Smith Holdings LLC | Skilled Nursing Facility | 5301 Wheeler Ave, Fort Smith, AR 72901-8339 | 2016-03-15 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
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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.