Clark Memorial Hospital

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

License

05-005009 Issued in IN

Legal business name

CLARK MEMORIAL HOSPITAL

Practice address

1220 Missouri Ave
Jeffersonville, IN 47130-3725

Phone

(812) 282-6631

Fax

(812) 283-2688

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kirk William Strack

Title

Vice President of Finance and Cfo

Phone

(812) 283-2448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710082102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MISSOURI AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303725",
            "telephone_number": "812-282-6631",
            "fax_number": "812-283-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MISSOURI AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303725",
            "telephone_number": "812-282-6631",
            "fax_number": "812-283-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRACK",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE AND CFO",
        "authorized_official_telephone_number": "812-283-2448",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "IN",
            "license": "05-005009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Chua, MD
• Clark Co. Health Dept.
• Clark County Auditor
• Clark County Medical Transport LLC
• Clark Memorial Hospital
• Clark Memorial Hospital
• Clark Physician Group LLC
• Bonnie Lou Clark, PMHNP-BC
• Emily Marie Clark, PT,DPT
• Lisa Clark

• Substance Use Disorder Rehabilitation Hospital Unit in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.