Organization
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Active
Other names
Clark Clinic Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA BOWMAN (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
225 HOSPITAL DR, WINCHESTER, KY 40391-7604
(859) 737-6481
(859) 737-6640
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
02/07/2023
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