Carol Clark is a Community Health in Indianapolis, Indiana. Carol Clark practices all healthcare services and medical treatments related to Community Health. The NPI Number for Carol Clark is 1770535502. The last update date is 2012-05-02.
Carol Clark's current location address is 9015 E 17th St, Indianapolis, Indiana. You can contact this provider via phone number 3178983166 and fax number 3178984219. The mailing address for Carol Clark is 9015 E 17th St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Clark |
|---|---|
| Address | 9015 E 17th St, Indianapolis, Indiana |
| Phone Number | 3178983166 |
| Fax Number | 3178984219 |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1770535502 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2012-05-02 |
Provider Mailing Address Detail
| Address | 9015 E 17th St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462292016 |
| Phone Number | 3178983166 |
| Fax Number | 3178984219 |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 363Lc1500X |
| Licence No | 71000959A |
|
Definition: An advanced practice registered nurse expert in improving health outcomes for populations and communities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200307710 | IN | -- | |
| P01016729 | IN | RR MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Carol Clark by the Centers for Medicare & Medicaid Services?
The Carol Clark has been issued the NPI (National Provider Identifier) 1770535502 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Carol Clark's physical address?
The Carol Clark is physically located at 9015 E 17Th St, in the city of Indianapolis, IN, with the postal code 462292016.
What is Carol Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carol Clark's area of specialization is Community Health, and the corresponding taxonomy code that categorizes this field of practice is 363Lc1500X.
On what date was the 1770535502 assigned to Carol Clark?
The Carol Clark was issued its 1770535502 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Carol Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carol Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-05-02.