Clark Lab Services

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

CLARK LAB SERVICES

Practice address

104 Westview Park PL
Kalispell, MT 59901-3074

Phone

(406) 478-6440

NPI assigned

Sep 8, 2022

Organization subpart

No

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

Authorized official

Name

Kiersten Clark

Title

Ceo

Phone

(406) 478-6400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1508587403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013074",
            "telephone_number": "406-478-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KIERSTEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-478-6400"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrysalis
• Bonnie Provenzano Chrysler
• Thomas Cichock
• City of Kalispell
• Claimpulse LLC
• Carl Hugh Clark, M.S.
• Janet I. Clark, PT
• Clay Ross, LCPC
• Amber Lynn Clegg, PHARM D.
• Seth William Clemens, M.D.

• Community Health Clinic/Center in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Community Health Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.