1982126587 NPI number — HAPPI HEALTH

Table of content: (NPI 1982126587)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982126587 NPI number — HAPPI HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAPPI HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SPARKMAN FAMILY PRACTICE & URGENT CARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982126587
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/04/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
813 FRANKLIN ST SE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTSVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35801-4311
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-519-3650
Provider Business Mailing Address Fax Number:
256-585-6713

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2597 SPARKMAN DR NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35810-3868
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-585-6212
Provider Business Practice Location Address Fax Number:
256-585-6713
Provider Enumeration Date:
07/14/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ANDREWS
Authorized Official First Name:
ANGELIQUE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
CMO
Authorized Official Telephone Number:
256-519-3650

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: LALCS33898 . This is a "HRSA NOTICE OF LOOK-ALIKE DESIGNATION" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".