SPARK MED SPA, LLC
NPI 1376246884
Clinic/Center - Health Service in Hayden, ID

NPI Status: Active since March 23, 2023

Contact Information

8027 N GOVERNMENT WAY
SUITE 106
HAYDEN, ID
ZIP 83835
Phone: (208) 241-9422

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  • Organization
  • Clinic/Center
  • Health Service

About SPARK MED SPA, LLC

This page provides the complete NPI Profile along with additional information for Spark Med Spa, Llc, a provider established in Hayden, Idaho operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1376246884 assigned on March 2023. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Robbie J Garrett Rn (Co-owner/director)

NPI
1376246884
Provider Legal Name
SPARK MED SPA, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
8027 N GOVERNMENT WAY SUITE 106 HAYDEN, ID 83835
Location Phone
(208) 241-9422
Mailing Address
PO BOX 1021 ATHOL, ID 83801
Mailing Phone
(208) 241-9942
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-23-2023
Last Update Date
05-28-2025
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Location Map

Secondary Locations

  • 1352 E Center St Ste B
    Pocatello, ID 83201
    (208) 241-9942

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBBIE J GARRETT RN

Authorized Official Title
CO-OWNER/DIRECTOR
Authorized Official Phone
(208) 251-2660

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376246884, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 4 + 4 + 1 + 2 + 8 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1376246884.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376246884, enumerated as an "organization" on March 23, 2023.

The provider is located at 8027 N GOVERNMENT WAY SUITE 106 HAYDEN, ID 83835 and the phone number is (208) 241-9422.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.