CLARK MEMORIAL CLINIC CONNECTION – NPI #1902323009
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.

Health Care Provider Taxonomy Code for Family Medicine

CLARK MEMORIAL CLINIC CONNECTION is a provider located in JEFFERSONVILLE, IN. NPPES has assigned the NPI number 1902323009 to CLARK MEMORIAL CLINIC CONNECTION on August 29, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLARK MEMORIAL CLINIC CONNECTION” is a dba name, the actual legal business name for this organization is NORTON CLARK PHYSICIAN PRACTICES, LLC. With multiple taxonomy codes selected, 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 3 years ago on Nov 07, 2023. 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 CLINIC CONNECTION below.

NPI Profile for
NORTON CLARK PHYSICIAN PRACTICES, LLC

NPI Number
1902323009
Enumeration Date

(about 9 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
NORTON CLARK PHYSICIAN PRACTICES, LLC
Doing Business As (dba): CLARK MEMORIAL CLINIC CONNECTION
Primary location
2021 MERCY WAY
STE 102
JEFFERSONVILLE, IN 47130
Phone: (812) 252-0258 Fax: (812) 252-0315
Mailing address
4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY 40241-3009
Phone: Fax:
Organization Subpart
No
Authorized Official
SHELLEY GAST
VP MANAGED CARE
Phone: (502) 272-5335
Updated
Certification Date
Nov 07, 2023

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
207Q00000X
- Family Medicine (Primary)
363L00000X
- Nurse Practitioner
207R00000X
- Internal Medicine

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.