CLARK PHYSICIAN GROUP LLC NPI 1831344431

NPI Information

NPI: 1831344431
Provider Name: CLARK PHYSICIAN GROUP LLC

Doing Business As: CLARK MEMORIAL HOSPITAL URGENT CARE, SELLERSBURG

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
130 HUNTER STATION WAY
SELLERSBURG, IN
ZIP 47172
Phone: (812) 246-4808
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CLARK PHYSICIAN GROUP LLC is an urgent care clinic center in Sellersburg, IN. CLARK PHYSICIAN GROUP LLC NPI is 1831344431. The provider is registered as an organization entity type.
The provider Is Doing Business As Clark Memorial Hospital Urgent Care, Sellersburg.

The provider's business location address is:

130 HUNTER STATION WAY
SELLERSBURG, IN
ZIP 47172-930
Phone: (812) 246-4808
Fax: (812) 246-4807

The provider's authorized official is Kirk Strack .
The authorized official title is Cfo and has the following contact phone number (812) 282-6631.

The enumeration date for this NPI number is 11/24/2008 and was last updated on 8/17/2009.

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
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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
1	200843050	MEDICAID	INDIANA
2	258910	MEDICARE PIN	INDIANA
3	6186000001	MEDICARE NSC	INDIANA

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: 11/14/2023

NPI Synchronization or Removal

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