Provider Demographics
NPI:1952049132
Name:SPARKS FAMILY HOSPITAL INC
Entity Type:Organization
Organization Name:SPARKS FAMILY HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP-CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3482
Mailing Address - Street 1:2700 FIRE MESA ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-9005
Mailing Address - Country:US
Mailing Address - Phone:702-369-7671
Mailing Address - Fax:
Practice Address - Street 1:1511 OPPIO RANCH PKWY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436
Practice Address - Country:US
Practice Address - Phone:702-369-7671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPARKS FAMILY HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care