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Organization

CLARK PHYSICIAN GROUP LLC

Active
Other names
Clark Memorial Hospital Urgent Care, Sellersburg
Organization subpart
No

Provider details

NPI number
Authorized official
KIRK STRACK (CFO)
(812) 282-6631
Entity
Organization

Contact information

Practice address
130 HUNTER STATION WAY, SELLERSBURG, IN 47172-8930
(812) 246-4808
(812) 246-4807
Mailing address
130 HUNTER STATION WAY, SELLERSBURG, IN 47172-8930
(812) 246-4808
(812) 246-4807

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200843050
IN
Enumeration date
11/24/2008
Last updated
08/17/2009
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