Adele Clark is a Medical in Winston-salem, North Carolina. Adele Clark practices all healthcare services and medical treatments related to Medical. The NPI Number for Adele Clark is 1841228335. The last update date is 2010-10-21.
Adele Clark's current location address is Po Box 344, Winston-salem, North Carolina. You can contact this provider via phone number 3367162255 and fax number 3367169258. The mailing address for Adele Clark is Po Box 344, Winston-salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adele Clark |
|---|---|
| Address | Po Box 344, Winston-salem, North Carolina |
| Phone Number | 3367162255 |
| Fax Number | 3367169258 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1841228335 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2010-10-21 |
Provider Mailing Address Detail
| Address | Po Box 344 |
|---|---|
| City | Winston-salem |
| State | North Carolina (NC) |
| Post Code | 271020344 |
| Phone Number | 3367162255 |
| Fax Number | 3367169258 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 100690 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 189348 | NC | MEDCOST | |
| 7825786 | NC | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Adele Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Adele Clark has been assigned the NPI (National Provider Identifier) 1841228335. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Adele Clark's facilities are geographically located?
The facilities of Adele Clark are physically situated at the following location: Po Box 344, Winston-Salem, NC, 271020344.
What is the Adele Clark's area of specialization and corresponding taxonomy classification?
The Adele Clark's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Adele Clark receive the assignment of its 1841228335 from the Centers for Medicare & Medicaid Services?
The Adele Clark was issued its 1841228335 by the Centers for Medicare & Medicaid Services on 2006-06-30.
When was the Adele Clark's information last updated?
The Adele Clark's information was last updated on 2010-10-21.