| Sparc | |
|
2210 Arca Dr #1 Anchorage AK 99508-3462 | |
| (907) 277-6677 | |
| (907) 777-0360 |
| Full Name | Sparc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2210 Arca Dr #1, Anchorage, Alaska |
| Authorized Official Name and Position | Kimber Sanborn (HR MANAGER) |
| Authorized Official Contact | 9077770154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparc 2211 Arca Dr Anchorage AK 99508-3462 Ph: (907) 277-6677 | Sparc 2210 Arca Dr #1 Anchorage AK 99508-3462 Ph: (907) 277-6677 |
| NPI Number | 1558809285 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558809285 | NPI | - | NPPES |
| 1713287 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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