CLARKSON CLINIC, PLLC (NPI# 1104937820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104937820 |
| Entity Type | Organization |
| Organization Name | CLARKSON CLINIC, PLLC |
| Practice Address |
625 W Main St Clarkson KY 42726-7044 |
| Mailing Address |
Po Box 158 Clarkson KY 42726-0158 |
| Practice Telephone | 2702422311 |
| Practice Fax Number | 2702427007 |
| Mailing Telephone | 2702422311 |
| Mailing Fax Number | 2702427007 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | DR. VICTOR F DUVALL (SOLE MEMBER) |
| Authorized Official Telephone | 2702422311 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 14881 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT ADVANTAGE | 2813857000 | 01 |
| KY | 7100011620 | 05 |
| Street Address |
625 W MAIN ST |
| City | CLARKSON |
| State | KY |
| Zip Code | 42726-7044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780876581 | Twin Lakes Family Practice | Clinic/Center | 625 W Main St, Clarkson, KY 42726-7044 | 2007-08-15 |
| 1306863378 | Victor F Duvall | Family Medicine | 625 W Main St, Clarkson, KY 42726-7044 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164837357 | Paula Tiffany Nicole Smallwood | Developmental Therapist | 20 Fragrant Rd, Clarkson, KY 42726 | 2014-06-25 |
| 1295079481 | Pamela Oletta Riggs | Counselor | 409 Millerstown St, Clarkson, KY 42726 | 2012-11-12 |
| 1700039146 | Kathy Powell | Durable Medical Equipment & Medical Supplies | 722 W. Main Street, Clarkson, KY 42726 | 2008-10-29 |
| 1497177398 | Everlasting Arms Family Counseling Center, LLC | Counselor | 409 Millerstown St, Clarkson, KY 42726 | 2014-01-10 |
| 1134111784 | Larry T Mcclure | Clinic/Center | 619 W Main St, Clarkson, KY 42726 | 2005-08-19 |
| 1174615124 | Clarkson Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 201 Millerstown St., Clarkson, KY 42726-0146 | 2006-09-28 |
| 1740302041 | James William Marshall | Pharmacist | 201 Millerstown St., Clarkson, KY 42726-0146 | 2007-04-06 |
| 1700863495 | Midway Pharmacy of Clarkson Inc | Pharmacy | 627 W Main St, Clarkson, KY 42726-7044 | 2005-12-23 |
| 1063668291 | Louisville Vamc | Clinic/Center | 619 W Main St, Clarkson, KY 42726-7044 | 2008-08-07 |
| 1619031192 | Mark Evan Demuth | Family Medicine | 619 W Main St, Clarkson, KY 42726-7044 | 2006-12-20 |
| Find all providers in zip 42726 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780876581 | Twin Lakes Family Practice | Clinic/Center | 625 W Main St, Clarkson, KY 42726-7044 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150712 | Big Sandy Health Care Inc | Clinic/Center | 194 Beriah Blvd, Salyersville, KY 41465 | 2020-10-08 |
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1346714615 | Good Doctor | Clinic/Center | 9405 Us Highway 235, Stanville, KY 41659-9048 | 2019-01-19 |
| 1083192595 | Carson Black Lung Center of Pineville, Inc. | Clinic/Center | 820 Robert L. Maddon Bypass Third Fl, Pineville, KY 40977-1452 | 2018-08-06 |
| 1730665886 | William Shea | Clinic/Center | 149 Moore Dr, Lexington, KY 40503-2918 | 2018-07-12 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1245747674 | Phaup Chiropractic Center, LLC | Clinic/Center | 95 Ymca Dr Ste A, Madisonville, KY 42431-9035 | 2018-01-08 |
| 1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
| 1740717818 | Jones-o'neal Enterprises, Pllc | Clinic/Center | 135 Morgan St, Versailles, KY 40383-1428 | 2017-05-18 |
| 1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.