# CLARK REGIONAL PHYSICIAN PRACTICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Clark Digestive Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629489075
- **Authorized official:** SARA MILLER (DIRECTOR)
- **Authorized official phone:** (615) 202-9581

## Contact information

- **Practice address:** 225 HOSPITAL DR, STE 200B, WINCHESTER, KY 40391-7676
- **Practice address phone:** (859) 737-6488
- **Mailing address:** 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
- **Mailing address phone:** (615) 920-7905
- **Mailing address fax:** (615) 920-8935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2014
- **Last updated:** 09/27/2017