Healthcare Provider Details

I. General information

NPI: 1477543171
Provider Name (Legal Business Name): SPARKS FAMILY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6225 SHARLANDS AVE
RENO NV
89523-2785
US

IV. Provider business mailing address

2375 E PRATER WAY
SPARKS NV
89434-9641
US

V. Phone/Fax

Practice location:
  • Phone: 775-683-4200
  • Fax:
Mailing address:
  • Phone: 775-331-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number653HOS-10
License Number StateNV

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO, SENIOR VP
Credential:
Phone: 610-768-3300