Provider Demographics
NPI:1518201649
Name:A-1 SPARROW HEALTH SYSTEMS
Entity Type:Organization
Organization Name:A-1 SPARROW HEALTH SYSTEMS
Other - Org Name:A-1 SPARROW HEALTH SYSTEMS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:F
Authorized Official - Last Name:HESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-779-2417
Mailing Address - Street 1:3000 KNIGHT ST STE 207
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-2566
Mailing Address - Country:US
Mailing Address - Phone:318-779-2417
Mailing Address - Fax:318-742-8646
Practice Address - Street 1:3000 KNIGHT ST STE 207
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-2566
Practice Address - Country:US
Practice Address - Phone:318-779-2417
Practice Address - Fax:318-742-8646
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A-1 SPARROW HEALTH SYSTEMS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty