NORTH CLARK BEHAVIORAL HEALTH LLC


Address: 2100 Market St Ste 200, Charlestown, IN 47111-8507
Phone: 8125035100

NORTH CLARK BEHAVIORAL HEALTH LLC (NPI# 1376161810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376161810
Entity Type Organization
Organization Name NORTH CLARK BEHAVIORAL HEALTH LLC
Practice Address 2100 Market St Ste 200
Charlestown
IN 47111-8507
Mailing Address 1410 S Clark Blvd # 2100
Clarksville
IN 47129-3212
Practice Telephone 8125035100
Mailing Telephone 5022449859
Mailing Fax Number 7705739513
Enumeration Date 2020-07-10
Last Update Date 2020-07-10
Authorized Official Name STEVEN SMITH (MANAGER)
Authorized Official Telephone 5022449859
Authorized Official Credential CREDENTIALING
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 2100 MARKET ST STE 200
City CHARLESTOWN
State IN
Zip Code 47111-8507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003434416 North Clark Physicians Group LLC Family Medicine 2100 Market St Ste 200, Charlestown, IN 47111-8507 2020-07-13
1710505128 North Clark Surgery Center LLC Surgery 2100 Market St Ste 200, Charlestown, IN 47111-8507 2020-07-13
1235757709 North Clark Anesthesia Group LLC Anesthesiology 2100 Market St Ste 200, Charlestown, IN 47111-8507 2020-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003275488 Janet Hilderbrand Counselor 7509 Charleston Pike, Charleston, IN 47111 2016-02-15
1891117784 Capital Senior Living Properties 4, Inc. Assisted Living Facility 2400 Market Street, Charlestown, IN 47111 2014-01-10
1497996466 Rivercrossing Independent and Assisted Living Community Assisted Living Facility 2400 West Market Street, Charlestown, IN 47111 2009-03-20
1790973030 Saint Catherine Physicians Services LLC Nurse Practitioner 2100 Market St., Charlestown, IN 47111 2007-10-11
1962628990 Travis Lee Gross Dentist 9419 State Road 403, Charlestown, IN 47111 2007-04-18
1366585572 William H Garner IIi Surgery 2100 Market Street, Charlestown, IN 47111 2007-02-15
1871603803 Gary E Smith Dentist 1417 Market St, Charlestown, IN 47111 2006-08-31
1841239464 Jennifer S Kramp Physical Therapist 9407 County Rd 403, Charlestown, IN 47111 2006-06-06
1861472169 Michael Patrick Hensley Physical Therapist 9407 Highway 403, Charlestown, IN 47111 2006-01-20
1598289183 Walgreen Co Durable Medical Equipment & Medical Supplies 9616 County Road 403, Charlestown, IN 47111 2017-07-26
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1265068084 Wellness Etc LLC Clinic/Center 1133 W Mill Rd Ste 200, Evansville, IN 47710-3877 2020-03-13
1114553948 Johnson Nichols Health Clinic, Inc. Clinic/Center 720 N Marr Rd Ste A, Columbus, IN 47201-6660 2020-03-12
1376174904 Karen Brosius LLC Clinic/Center 901 S Rogers St Ste 201, Bloomington, IN 47403-4760 2020-02-02
1396385886 Urban Act Academy Clinic/Center 1250 E Market St, Indianapolis, IN 46202-3831 2020-01-13
1487295093 Lotus Counseling Services, LLC Clinic/Center 6360 E Main St Apt 109, Portage, IN 46368-4683 2019-10-04
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Competitor

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City CHARLESTOWN
Zip Code 47111

Improve Information

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Dataset Information

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.

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