CLARK MEMORIAL HOSPITAL URGENT CARE, SELLERSBURG – NPI #1831344431
Clinic/Center

CLARK MEMORIAL HOSPITAL URGENT CARE, SELLERSBURG is an AHC clinic located in SELLERSBURG, IN. NPPES has assigned the NPI number 1831344431 to CLARK MEMORIAL HOSPITAL URGENT CARE, SELLERSBURG on November 24, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLARK MEMORIAL HOSPITAL URGENT CARE, SELLERSBURG” is a dba name, the actual legal business name for this organization is CLARK PHYSICIAN GROUP LLC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 17 years ago on Aug 17, 2009. 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 MEMORIAL HOSPITAL URGENT CARE, SELLERSBURG below.

NPI Profile for
CLARK PHYSICIAN GROUP LLC

NPI Number
1831344431
Enumeration Date

(more than 17 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 PHYSICIAN GROUP LLC
Doing Business As (dba): CLARK MEMORIAL HOSPITAL URGENT CARE, SELLERSBURG
Primary location
130 HUNTER STATION WAY
SELLERSBURG, IN 47172-8930
Phone: (812) 246-4808 Fax: (812) 246-4807
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIRK STRACK
CFO
Phone: (812) 282-6631
Updated
Identifiers

Identifiers for CLARK MEMORIAL HOSPITAL URGENT CARE, SELLERSBURG

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
MEDICAIDIN200843050
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
261QU0200X
- Clinic/Center / Urgent Care (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.