SPARTAN HEALTH & FITNESS – NPI #1205467123
Clinic/Center

SPARTAN HEALTH & FITNESS is an AHC clinic located in JONESBORO, AR. NPPES has assigned the NPI number 1205467123 to SPARTAN HEALTH & FITNESS on January 29, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPARTAN HEALTH & FITNESS below.

NPI Profile for
SPARTAN HEALTH & FITNESS

NPI Number
1205467123
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPARTAN HEALTH & FITNESS
Primary location
2007 E NETTLETON AVE STE B
JONESBORO, AR 72401-5286
Phone: (870) 520-5013 Fax:
Mailing address
3028 COUNTY ROAD 751
JONESBORO, AR 72405-6811
Phone: (479) 799-5520 Fax:
Organization Subpart
No
Authorized Official
BRADFORD STEWART
OWNER/MANAGER
Phone: (479) 799-5520
Updated
Certification Date
Jan 29, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SPARTAN HEALTH & FITNESS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDEAARFS2909604
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Other URL
Endpoint Description
PRACTICE EMAIL
Content Type
OTHER
Affiliation
N
Endpoint Location
2007 E NETTLETON AVE STE B,
JONESBORO, AR 77025-1669