# CLARK ELEMENTARY SCHOOL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467681098
- **Authorized official:** MS. STEPHANIE JO HAYS (FINANCE ADMINISTRATOR)
- **Authorized official phone:** (270) 444-9625

## Contact information

- **Practice address:** 3401 BUCKNER LN, PADUCAH, KY 42001-4732
- **Practice address phone:** (270) 444-5730
- **Mailing address:** PO BOX 2357, PADUCAH, KY 42002-2357
- **Mailing address phone:** (270) 444-9625
- **Mailing address fax:** (270) 575-5458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2009
- **Last updated:** 07/02/2009