Organization
CLARK MEMORIAL HOSPITAL
Active
Other names
Primary Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK WILLIAM STRACK (VICE PRESIDENT FINANCE CFO)
(812) 283-2488
Entity
Organization
Contact information
Practice address
1806 E 10TH ST, JEFFERSONVILLE, IN 47130
(812) 285-5926
(812) 280-5723
Mailing address
1806 E 10TH ST, JEFFERSONVILLE, IN 47130
(812) 285-5926
(812) 280-5723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100074370
—
IN
01
—
CD6896
RAILROAD MEDICARE GROUP
—
01
—
CI1990
RAILROAD MEDICARE GROUP
—
Enumeration date
06/02/2006
Last updated
07/31/2008
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