CLARK CLINIC INC (NPI# 1992338156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992338156 |
| Entity Type | Organization |
| Organization Name | CLARK CLINIC INC |
| Practice Address |
110 Lodge Terrace Dr Altoona FL 32702-9668 |
| Mailing Address |
212 S Florida St Bushnell FL 33513-6703 |
| Practice Telephone | 3527861600 |
| Mailing Telephone | 3527932441 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | LOWELL F. CLARK (OWNER) |
| Authorized Official Telephone | 3527932441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1467642942 | Clark Clinic Inc | Clinic/Center | 107 W Central Ave, Howey In The Hills, FL 34737-4302 | 2007-07-31 |
| 1225661481 | Clark Clinic Inc | Clinic/Center | 31450 Church St, Sorrento, FL 32776-9594 | 2020-02-17 |
| 1376733857 | Clark Clinic Inc | Clinic/Center | 212 S Florida St, Bushnell, FL 33513-6703 | 2007-07-31 |
| Street Address |
110 LODGE TERRACE DR |
| City | ALTOONA |
| State | FL |
| Zip Code | 32702-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922136514 | Lakeview Terrace Home Health Services, LLC | Home Health | 110 Lodge Terrace Dr, Altoona, FL 32702-9668 | 2007-03-02 |
| 1326671256 | Lowell F. Clark Md Pa | Clinic/Center | 110 Lodge Terrace Dr, Altoona, FL 32702-9668 | 2020-02-19 |
| 1447708482 | Community Supports, Inc. | Skilled Nursing Facility | 110 Lodge Terrace Dr, Altoona, FL 32702-9668 | 2016-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639271349 | Lakeview Terrace Health Care Center LLC | Assisted Living Facility | 110 Lodge Terrace Drive, Altoona, FL 32702 | 2006-09-02 |
| 1003302993 | Community Supports, Inc. | Assisted Living Facility | 110 Lodge Terrace Drive, Altoona, FL 32702 | 2018-07-03 |
| 1891243986 | Lynne Thall | Nurse Practitioner | 18121 Boys Ranch Rd, Altoona, FL 32702-9090 | 2016-09-17 |
| 1386157998 | Harmony Hills, LLC. | Substance Abuse Rehabilitation Facility | 18121 Boys Ranch Rd, Altoona, FL 32702-9090 | 2017-11-06 |
| 1922511542 | Harmony Hills, LLC. | Clinic/Center | 18307 Boys Ranch Rd, Altoona, FL 32702-9093 | 2017-11-06 |
| 1700403730 | Harmony Hills Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 18307 Boys Ranch Rd, Altoona, FL 32702-9093 | 2020-06-25 |
| 1366096463 | Palm Beach Recovery LLC | Substance Abuse Rehabilitation Facility | 18307 Boys Ranch Rd, Altoona, FL 32702-9093 | 2019-07-26 |
| 1851878136 | Crystal Isola Christian | Nurse Practitioner | 18307 Boys Ranch Rd, Altoona, FL 32702-9093 | 2018-07-19 |
| 1629581269 | Harmony Hills, LLC. | Clinic/Center | 18307 Boys Ranch Rd, Altoona, FL 32702-9093 | 2017-11-06 |
| 1851832612 | Glenn Strouse | Behavioral Analyst | 20415 Canvas Back Rd, Altoona, FL 32702-9400 | 2017-03-13 |
| Find all providers in zip 32702 | ||||
| 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 |
|---|---|---|---|---|
| 1427178417 | White Deer Run, Inc | Clinic/Center | 1216 Pleasant Valley Blvd, Suite E, Altoona, PA 16602-4750 | 2007-03-31 |
| 1689776957 | Center for The Surgical Arts LLC | Clinic/Center | 3107 Fairway Dr, Altoona, PA 16602 | 2006-09-05 |
| 1326671256 | Lowell F. Clark Md Pa | Clinic/Center | 110 Lodge Terrace Dr, Altoona, FL 32702-9668 | 2020-02-19 |
| 1851739387 | Lechene Chiropractic PC | Clinic/Center | 411 S Logan Blvd, Suite 3, Altoona, PA 16602-5654 | 2013-06-06 |
| 1952574311 | Steven Hand, Ma, LLC | Clinic/Center | 304 Frankstown Rd, Altoona, PA 16602-4231 | 2008-04-08 |
| 1255406393 | Upmc Behavioral Health of The Alleghenies | Clinic/Center | 500 E Chestnut Ave, D&a Op, Altoona, PA 16601-5215 | 2006-11-22 |
| 1114926953 | Upmc Altoona | Clinic/Center | 620 Howard Ave., Altoona, PA 16601-4899 | 2005-07-14 |
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| 1386242055 | A & P Therapy Services, LLC | Clinic/Center | 2061 Sw 150th Ave, Miami, FL 33185-5689 | 2020-10-14 |
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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.