Sparks Medical Foundation

NPI #1104920644 in Greenwood, Arkansas

Provider Information

NPI Number: 1104920644
Entity Type: Organization
Organization Name: Sparks Medical Foundation
Primary Specialty: Family Medicine
Enumeration Date: Sep 12, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 1480 W CENTER ST
City: Greenwood
State: Arkansas
ZIP Code: 72936-3449
Phone: (479) 996-5585

Authorized Official

Name: REBECCA COX
Title: CBO SUPPORT MANAGER
Phone: (479) 709-7057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Family Medicine	207Q00000X	Primary

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