Sparx Foundation
Family Medicine in Minneapolis, MN. Organization (NPI-2).
NPI number1295540102
StatusActive
Last updated in NPPESFeb 14, 2025
Details
- NPI
- 1295540102
- Entity type
- Organization (NPI-2)
- Legal business name
- Sparx Foundation
- Organization subpart
- No
- Enumeration date
- Feb 8, 2025
- Certification date
- Feb 14, 2025
- Last updated
- Feb 14, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Other names
- Primecare Of Minnesota (Doing Business As)
Practice location
6417 Penn Ave S Ste 7-70Minneapolis, MN 55423-1186
Phone 952-314-4448
Mailing address
6417 Penn Ave S Ste 7-70Minneapolis, MN 55423-1186
Phone 952-314-4448
Authorized official
Fardows O Salim
MD
9523144448
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