Clark E Wooldridge is a Clinical in Clovis, New Mexico. Clark E Wooldridge practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clark E Wooldridge is 1649380502. The last update date is 2007-07-08.
Clark E Wooldridge's current location address is 1220 Mitchell, Clovis, New Mexico. You can contact this provider via phone number 8066816745 and fax number 5057423182. The mailing address for Clark E Wooldridge is 1220 Mitchell, Clovis, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark E Wooldridge |
|---|---|
| Address | 1220 Mitchell, Clovis, New Mexico |
| Phone Number | 8066816745 |
| Fax Number | 5057423182 |
| Sole Proprietor | N |
| Credentials | LISW AC |
NPI Number Detail
| NPI Number | 1649380502 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1220 Mitchell |
|---|---|
| City | Clovis |
| State | New Mexico (NM) |
| Post Code | 88101 |
| Phone Number | 8066816745 |
| Fax Number | 5057423182 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I2267 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 97107 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Clark E Wooldridge by the Centers for Medicare & Medicaid Services?
The Clark E Wooldridge has been assigned the NPI (National Provider Identifier) 1649380502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Clark E Wooldridge?
The Clark E Wooldridge is situated at 1220 Mitchell, in the city of Clovis, state of NM, with the zip code 88101.
What is Clark E Wooldridge's area of expertise and its corresponding taxonomy classification?
The Clark E Wooldridge's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Clark E Wooldridge receive its 1649380502?
The Clark E Wooldridge was issued its 1649380502 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Clark E Wooldridge, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Clark E Wooldridge, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.