MEDICARE: CARTER CHRISTIAN SPARKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1265118681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARTER CHRISTIAN SPARKS

Provider Business Mailing Address
First Line	:	3186 US-412
Second Line	:
City	:	WEST SILOAM SPRINGS
State	:	OK
Zip	:	74338-8237
Country	:	US
Telephone Number	:	844-458-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3186 US-412
Second Line	:
City	:	WEST SILOAM SPRINGS
State	:	OK
Zip	:	74338
Country	:	US
Telephone Number	:	844-458-2100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2023
Last Update Date	:	06/22/2023

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1376900662 — AUBRE PHILLIPS
Practice Location Address:

3186 W HWY 412
WEST SILOAM SPRINGS, OK
74338-1356

Practice Phone: 918-708-3006
Practice Fax: 919-205-2712

1205466372 — GRAND LAKE MENTAL HEALTH CENTER, INC
Practice Location Address:

3186 W HWY 412
WEST SILOAM SPRINGS, OK
74338-1356

Practice Phone: 918-708-3006
Practice Fax: 918-205-2712

1912531344 — GRAND LAKE MENTAL HEALTH CENTER, INC.
Practice Location Address:

3186 W HIGHWAY 412
WEST SILOAM SPRINGS, OK
74338-1356

Practice Phone: 918-708-3006
Practice Fax: 918-205-2712

1497438493 — DR. JACKSON CHARLES GRAHAM OD
Practice Location Address:

820 STATE LINE RD
WEST SILOAM SPRINGS, OK
74338

Practice Phone: 918-422-5811
Practice Fax:

1366723744 — BLIA VANG PHARM.D.
Practice Location Address:

440 HWY 412 WEST
SILOAM SPRINGS, AR
72761

Practice Phone: 479-524-3671
Practice Fax: 479-524-3696

Directions to “ CARTER CHRISTIAN SPARKS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.