DUSTIN E CLARK (NPI# 1265562185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265562185 |
| Entity Type | Individual |
| Full Name | DUSTIN E CLARK |
| Practice Address |
128 Scenega Valdez AK 99686 |
| Mailing Address |
Po Box 1013 Valdez AK 99686 |
| Practice Telephone | 9078353274 |
| Practice Fax Number | 9078353512 |
| Mailing Telephone | 9072004995 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 172A00000X | Driver | Other Service Providers | ||
| X | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| X | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| X | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| X | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| X | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| X | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757915 | Dustin J Clark | Pharmacist | 4400 Ne Halsey St Ste 490, Portland, OR 97213-1545 | 2020-07-09 |
| 1700421328 | Dustin Ryan Clark | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2019-11-07 |
| 1225449671 | Dustin J Clark | Chiropractor | 601 S Race St, Port Angeles, WA 98362-6400 | 2014-05-19 |
| 1285831644 | Dustin Michael Clark | Emergency Medicine | 1420 Tusculum Blvd, Laughlin Memorial Hospital, Greeneville, TN 37745 | 2007-06-29 |
| Street Address |
128 SCENEGA |
| City | VALDEZ |
| State | AK |
| Zip Code | 99686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841320744 | Anny Chia Wilson | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1154451045 | Hope Ann Turner | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1063542959 | Stacy Lynn Hunt | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1689704579 | Brandi Nichole Hunt | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1669502555 | Jeremy Edward Martin | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1487784377 | Elainy Dale Mcfaddin | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1295865186 | Christi Alaine Haley | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1811027709 | Deborah Lynn Brown | Chore Provider | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1720118615 | Donna Elizabeth Henry | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1609906502 | Joel Ray Clark | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104487461 | The Alfa Doc LLC | Family Medicine | 154 Fairbanks Drive, Valdez, AK 99686 | 2019-06-26 |
| 1871156505 | Janna Gail Hancock | Counselor | 911 Meals Ave., Valdez, AK 99686 | 2019-04-18 |
| 1043736861 | Lori Jane Davey | Massage Therapist | 501 E. Bremner Street, Valdez, AK 99686 | 2017-08-15 |
| 1245685833 | Beth Houghton | Pharmacist | 109 E Pioneer, Valdez, AK 99686 | 2016-05-02 |
| 1891170239 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 109 E Pioneer Dr, Valdez, AK 99686 | 2015-07-28 |
| 1235473513 | Garett S Williams | Chiropractor | 501 East Bremner, Valdez, AK 99686 | 2012-11-26 |
| 1366706061 | Joan's Complete Care | Case Management | 5510 Wilderness Ct., Valdez, AK 99686 | 2012-06-27 |
| 1780943126 | Tara Yunker | Pharmacist | 1313 Meals St, Valdez, AK 99686 | 2012-05-04 |
| 1740416890 | Frontier Community Services | Assisted Living Facility | 825 Cottonwood Drive, Vald, AK 99686 | 2009-06-03 |
| 1821279480 | Brad Arvidson | Chiropractor | 303 Galena, Valdez, AK 99686 | 2007-11-23 |
| Find all providers in zip 99686 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841320744 | Anny Chia Wilson | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1114057726 | Fran Arlene Baron | Driver | 107 Eklutna, Valdez, AK 99686 | 2007-03-06 |
| 1306976980 | Marianne Ruth Hankins | Driver | 128 Chenega St, Valdez, AK 99686 | 2007-03-06 |
| 1154451045 | Hope Ann Turner | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1063542959 | Stacy Lynn Hunt | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1689704579 | Brandi Nichole Hunt | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1669502555 | Jeremy Edward Martin | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1487784377 | Elainy Dale Mcfaddin | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1295865186 | Christi Alaine Haley | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| 1720118615 | Donna Elizabeth Henry | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| Find all providers in VALDEZ | ||||
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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.