CLARK FAMILY MEDICINE PA – NPI #1306845573
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLARK FAMILY MEDICINE PA is a provider located in NEWLAND, NC. NPPES has assigned the NPI number 1306845573 to CLARK FAMILY MEDICINE PA on July 19, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is CLARK FAMILY & OBSTETRIC CARE PA. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Aug 20, 2018. 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 FAMILY MEDICINE PA below.

NPI Profile for
CLARK FAMILY MEDICINE PA

NPI Number
1306845573
Enumeration Date

(about 21 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 FAMILY MEDICINE PA
Former Legal Business Name: CLARK FAMILY & OBSTETRIC CARE PA
Primary location
137 NOTALEE ST
NEWLAND, NC 28657
Phone: (828) 528-3009 Fax:
Mailing address
PO BOX 58
CROSSNORE, NC 28616-0058
Phone: (828) 528-3009 Fax:
Organization Subpart
No
Authorized Official
ROBERT CLARK
PRESIDENT
Phone: (828) 528-3009
Updated
Identifiers

Identifiers for CLARK FAMILY MEDICINE PA

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
MEDICAIDNC89013VR
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
207Q00000X
- Family Medicine (Primary)
NC 0098-01210

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.