Organization
CLARK FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHA ANNE CLARK APRN (APRN/OWNER)
(740) 685-6800
Entity
Organization
Contact information
Practice address
293 W MAIN ST, BYESVILLE, OH 43723-1137
(740) 685-6800
(833) 681-2626
Mailing address
293 W MAIN ST, BYESVILLE, OH 43723-1137
(740) 685-6800
(833) 681-2626
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
05/27/2025
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