| Sparks Senior Health Center | |
|
1500 Dodson Ave Suite 125 Fort Smith AR 72901-5182 | |
| (479) 573-7960 | |
| (479) 573-7961 |
| Full Name | Sparks Senior Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 Dodson Ave, Fort Smith, Arkansas |
| Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparks Senior Health Center 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | Sparks Senior Health Center 1500 Dodson Ave Suite 125 Fort Smith AR 72901-5182 Ph: (479) 573-7960 |
| NPI Number | 1093006702 |
|---|---|
| Provider Enumeration Date | 04/28/2011 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093006702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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