Hollis J Clark is a Internal Medicine in Murray, Kentucky. Hollis J Clark practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Hollis J Clark is 1790766178. The last update date is 2015-10-16.
Hollis J Clark's current location address is 1000 S 12th St, Murray, Kentucky. You can contact this provider via phone number 2707599200 and fax number 2707599966. The mailing address for Hollis J Clark is 1000 S 12th St, Murray, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hollis J Clark |
|---|---|
| Address | 1000 S 12th St, Murray, Kentucky |
| Phone Number | 2707599200 |
| Fax Number | 2707599966 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790766178 |
|---|---|
| Provider Enumeration Date | 2005-11-11 |
| Last Updated Date | 2015-10-16 |
Provider Mailing Address Detail
| Address | 1000 S 12th St |
|---|---|
| City | Murray |
| State | Kentucky (KY) |
| Post Code | 420719303 |
| Phone Number | 2707599200 |
| Fax Number | 2707599966 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 25837 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50308 | KY | ANTHEM PROVIDER NUMBER | |
| 80025697 | KY | RAILROAD MC PROVIDER NUM | |
| 64258379 | KY | -- |
Post Comment/ Review Below
What is the Hollis J Clark's 1790766178?
The Hollis J Clark's NPI (National Provider Identifier) Number is 1790766178. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Hollis J Clark is physically located?
The Hollis J Clark is situated at the following address: 1000 S 12Th St, Murray, KY 420719303.
What is Hollis J Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Hollis J Clark's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did Hollis J Clark receive its 1790766178 assignment from the Centers for Medicare & Medicaid Services?
The Hollis J Clark was assigned its 1790766178 on 2005-11-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Hollis J Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Hollis J Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-10-16.