MARIE CLARK NREMT – NPI #1164306809
Emergency Medical Technician, Basic

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

MARIE CLARK is a basic emergency medical technician located in ATLANTA, ID. NPPES has assigned the NPI number 1164306809 to MARIE CLARK on August 05, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 146N00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medical Technician, Basic.

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 MARIE CLARK below.

NPI Profile for
MARIE CLARK

NPI Number
1164306809
Enumeration Date

(about 10 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARIE CLARK
Credentials
NREMT
Primary location
97 W PINE ST
ATLANTA, ID 83716-5032
Phone: (206) 396-7437 Fax:
Mailing address
65 W CHINA BASIN RD
ATLANTA, ID 83716-5024
Phone: (206) 396-7437 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
146N00000X
- Emergency Medical Technician, Basic (Primary)
ID 8342-4482-1318

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.