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).
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 |
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 |
Street Address |
2100 MARKET ST STE 200 |
City | CHARLESTOWN |
State | IN |
Zip Code | 47111-8507 |
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 |
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 |
Find all providers in zip 47111 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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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 |
Find all providers with the same taxonomy |
City | CHARLESTOWN |
Zip Code | 47111 |
Please comment or provide details below to improve the information on NORTH CLARK BEHAVIORAL HEALTH LLC.
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.