WM Clark Alz Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

WM CLARK ALZ CARE

Practice address

672 Alabama Ave
Memphis, TN 38105-3702

Phone

(901) 267-4002

NPI assigned

Apr 7, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rominic Clark

Title

Executive Director

Phone

(901) 267-4002

Specialties & licenses 1

Addresses

Tax ID family

WM Clark Alz Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• WM Clark Alz Care

  • Adult Day Care Clinic/Center
  • Memphis, TN
  • NPI 1215478714
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1407389356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 WOODLAND FIR DR",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380023957",
            "telephone_number": "901-267-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 ALABAMA AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381053702",
            "telephone_number": "901-267-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM CLARK ALZ CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ROMINIC",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-267-4002"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dexter Witte III, MD
• James P Wiygul, DDS, MS
• Mark Edward Wiygul, D.D.S.
• Marcin Wojciech Wlodarski, MD, PHD
• WM Clark Alz Care
• Andrew John Wodowski, M.D.
• Karen S Wodowski, RN/NP
• Perisco A Wofford, MD
• Alexandra Jean Wohlgemuth, PHARM.D.
• Jack Wohrman II, DDS

• Adult Day Care Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Adult Day Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.