CLARK FAMILY CARE NPI 1427068626

NPI Information

  • NPI: 1427068626
  • Provider Name: CLARK FAMILY CARE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 29 CANARY LN
    WINCHESTER, KY
    ZIP 40391
  • Phone: (859) 745-4469

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NPI Details

CLARK FAMILY CARE is a family medicine in Winchester, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CLARK FAMILY CARE NPI is 1427068626. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29 CANARY LN
WINCHESTER, KY
ZIP 40391-645
Phone: (859) 745-4469
Fax: (859) 745-6918

The provider's authorized official is Scott Moore .
The authorized official title is Owner and has the following contact phone number (859) 745-4469.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 12/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine38679KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10909601MEDICARE PINKENTUCKY
2H20950MEDICARE UPINKENTUCKY
3000000326872OTHERKENTUCKYBCBS PROVIDER ID
435001700MEDICAIDKENTUCKY
5183931MEDICARE OSCAR/CERTIFICATIONKENTUCKY
61213053OTHERKENTUCKYCHA PROVIDER ID
764075468MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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