CLARK COMMUNITY MENTAL HEALTH CENTER – NPI #1548615024
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Health Care Provider Taxonomy Code for Clinic/Center

CLARK COMMUNITY MENTAL HEALTH CENTER is an AHC clinic located in MONETT, MO. NPPES has assigned the NPI number 1548615024 to CLARK COMMUNITY MENTAL HEALTH CENTER on May 03, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLARK COMMUNITY MENTAL HEALTH CENTER below.

NPI Profile for
CLARK COMMUNITY MENTAL HEALTH CENTER

NPI Number
1548615024
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLARK COMMUNITY MENTAL HEALTH CENTER
Primary location
1701 N CENTRAL
MONETT, MO 65708
Phone: (417) 476-1034 Fax: (417) 476-1082
Mailing address
PO BOX 100
PIERCE CITY, MO 65723-2100
Phone: (417) 476-1034 Fax: (417) 476-1082
Organization Subpart
No
Authorized Official
JESS GENEL
BILLING SPECIALIST
Phone: (417) 476-1034
Updated
Identifiers

Identifiers for CLARK COMMUNITY MENTAL HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO1801807771
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.