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GOLDEN SPARROW HEALTH, PLLC
NPI 1184509192
Clinic/Center in Conway, AR

Active since August 08, 2025CLIA 04D2325571 · Waiver
827 FAULKNER ST, CONWAY, AR 72034(501) 382-1977(501) 271-4411 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Golden Sparrow Health, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN SPARROW HEALTH, PLLC (NPI 1184509192) is a healthcare organization registered as a clinic/center in Conway, Arkansas and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Kimberly Blake, Owner, as its authorized official.

NPPES Registry Identity

NPI1184509192
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGOLDEN SPARROW HEALTH, PLLC
Location Address827 FAULKNER STConway, AR 72034-5224
Mailing Address827 Faulkner StConway, AR 72034-5224 · (501) 382-1977 · Fax (501) 271-4411
Phone(501) 382-1977
Fax(501) 271-4411
Organization SubpartNo
Authorized OfficialKimberly BlakeOwner · (501) 382-1977
Enumeration DateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1184509192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
827 FAULKNER ST, Conway, AR 72034
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2325571

Golden Sparrow Health PLLC · Conway, AR
Active · expires Jun 15, 2027
CLIA Number04D2325571
Laboratory TypePractitioner Other
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorKimberly L. Blake
Laboratory Phone(501) 208-3513
Laboratory LocationGolden Sparrow Health PLLC827 Faulkner, Conway, AR 72034
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Golden Sparrow Health, PLLC's NPI number?

The NPI number for Golden Sparrow Health, PLLC is 1184509192. It was assigned to this organization in the NPPES registry on August 8, 2025.

Where is Golden Sparrow Health, PLLC located?

Golden Sparrow Health, PLLC is located at 827 Faulkner St, Conway, AR 72034. The listed phone number is (501) 382-1977.

What is Golden Sparrow Health, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Golden Sparrow Health, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2325571) is associated with this NPI, valid through June 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Golden Sparrow Health, PLLC was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.