Clark Physician Group Llc in Jeffersonville - Internal Medicine
Clark Physician Group Llc - NPI 1396901104
Clark Physician Group Llc is a Internal Medicine in Jeffersonville, Indiana. Clark Physician Group Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Clark Physician Group Llc is 1396901104. The last update date is 2013-03-25.
Clark Physician Group Llc's current location address is 1806 E 10th St, Jeffersonville, Indiana. You can contact this provider via phone number 8122855983 and fax number 8122805723. The mailing address for Clark Physician Group Llc is 1806 E 10th St, Jeffersonville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clark Physician Group Llc |
|---|---|
| Address | 1806 E 10th St, Jeffersonville, Indiana |
| Phone Number | 8122855983 |
| Fax Number | 8122805723 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Strack William Kirk |
| Telephone Number | 8122832488 |
NPI Number Detail
| NPI Number | 1396901104 |
|---|---|
| Provider Enumeration Date | 2008-07-31 |
| Last Updated Date | 2013-03-25 |
Provider Mailing Address Detail
| Address | 1806 E 10th St |
|---|---|
| City | Jeffersonville |
| State | Indiana (IN) |
| Post Code | 471306016 |
| Phone Number | 8122855983 |
| Fax Number | 8122805723 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100074370 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clark Physician Group Llc by the Centers for Medicare & Medicaid Services?
The Clark Physician Group Llc has been assigned the NPI (National Provider Identifier) 1396901104 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Clark Physician Group Llc's facilities are geographically located?
The facilities of Clark Physician Group Llc are physically situated at the following location: 1806 E 10Th St, Jeffersonville, IN, 471306016.
What is Clark Physician Group Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Clark Physician Group Llc is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Clark Physician Group Llc receive the assignment of its 1396901104 from the Centers for Medicare & Medicaid Services?
The Clark Physician Group Llc was issued its 1396901104 by the Centers for Medicare & Medicaid Services on 2008-07-31.
When was the information regarding Clark Physician Group Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clark Physician Group Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-03-25.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN