SPARKS MEDICAL FOUNDATION – NPI #1104920644
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SPARKS MEDICAL FOUNDATION is a provider located in GREENWOOD, AR. NPPES has assigned the NPI number 1104920644 to SPARKS MEDICAL FOUNDATION on September 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Sep 11, 2025. 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 SPARKS MEDICAL FOUNDATION below.

NPI Profile for
SPARKS MEDICAL FOUNDATION

NPI Number
1104920644
Enumeration Date

(about 20 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
SPARKS MEDICAL FOUNDATION
Primary location
1480 W CENTER ST
GREENWOOD, AR 72936-3449
Phone: (479) 996-5585 Fax: (479) 996-5386
Mailing address
PO BOX 2420
FORT SMITH, AR 72902-2420
Phone: (479) 709-7399 Fax: (479) 709-7053
Organization Subpart
No
Authorized Official
REBECCA COX
CBO SUPPORT MANAGER
Phone: (479) 709-7057
Updated
Identifiers

Identifiers for SPARKS MEDICAL FOUNDATION

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
otherM-CARE DMEAR4454530002
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
207Q00000X
- Family Medicine (Primary)
332B00000X
- Durable Medical Equipment & Medical Supplies

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.