1174717383 NPI number — CLARK HEALTH CARE, INC.

Table of content: (NPI 1174717383)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174717383 NPI number — CLARK HEALTH CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CLARK HEALTH CARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174717383
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/30/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2000 S SPRING ST
Provider Second Line Business Mailing Address:
P.O. BOX E
Provider Business Mailing Address City Name:
NEVADA
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64772-3064
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-321-0033
Provider Business Mailing Address Fax Number:
417-667-5988

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1495 E ASHLAND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEVADA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64772-4016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-667-5000
Provider Business Practice Location Address Fax Number:
417-667-5059
Provider Enumeration Date:
08/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CLARK
Authorized Official First Name:
BARRY
Authorized Official Middle Name:
GENE
Authorized Official Title or Position:
ADMIN./PRESIDENT
Authorized Official Telephone Number:
417-321-0033

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , with the licence number:  033970 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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