Mark Clark in Libby - Addiction (substance Use Disorder)
Mark Clark - NPI 1720119167
Mark Clark is a Addiction (substance Use Disorder) in Libby, Montana. Mark Clark practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mark Clark is 1720119167. The last update date is 2018-09-20.
Mark Clark's current location address is 711 California Ave, Libby, Montana. You can contact this provider via phone number 4062937731 and fax number 4062972823. The mailing address for Mark Clark is 711 California Ave, Libby, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Clark |
|---|---|
| Address | 711 California Ave, Libby, Montana |
| Phone Number | 4062937731 |
| Fax Number | 4062972823 |
| Sole Proprietor | N |
| Credentials | SUDC |
NPI Number Detail
| NPI Number | 1720119167 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2018-09-20 |
Provider Mailing Address Detail
| Address | 711 California Ave |
|---|---|
| City | Libby |
| State | Montana (MT) |
| Post Code | 599231903 |
| Phone Number | 4062937731 |
| Fax Number | 4062972823 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 22 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 760460 | MT | CHIP | |
| 73691 | MT | BLUE CROSS BLUE SHIELD | |
| 320372 | MT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Clark has been assigned the NPI (National Provider Identifier) 1720119167. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mark Clark?
The Mark Clark is situated at 711 California Ave, in the city of Libby, state of MT, with the zip code 599231903.
What is Mark Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Clark is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date was the 1720119167 assigned to Mark Clark?
The Mark Clark was issued its 1720119167 on 2007-03-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mark Clark last refreshed?
The information related to the Mark Clark, including its address, specialty, and other relevant details, was last updated on 2018-09-20.
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