Clark Builders

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

License

00054804 Issued in TN

Legal business name

CLARK BUILDERS

Practice address

860 Bear Creek Rd
Pinson, TN 38366-1955

Phone

(731) 988-5304

Fax

(731) 425-2485

NPI assigned

Mar 13, 2014

Last updated

Mar 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael L Clark, CONTRACTOR

Title

Owner

Phone

(731) 988-5304

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1740606847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BEAR CREEK RD",
            "city": "PINSON",
            "state": "TN",
            "postal_code": "383661955",
            "telephone_number": "731-988-5304",
            "fax_number": "731-425-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BEAR CREEK RD",
            "city": "PINSON",
            "state": "TN",
            "postal_code": "383661955",
            "telephone_number": "731-988-5304",
            "fax_number": "731-425-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK BUILDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-988-5304",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CONTRACTOR"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "TN",
            "license": "00054804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE CONTRACTOR",
            "identifier": "00054804",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE DRIVERS LICENSE",
            "identifier": "039920964",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric J Bausch, LPC
• Bobbie Coley, M.S
• Larry Anthony Ivery Sr., LPC-MHSP
• Nathan Judd, M.S.
• David Lee Lynch, LPC
• Jeremy M Northrop, PHD

• Home Infusion Agency in Pinson, TN
• Providers in Pinson, TN by specialty
• Home Infusion Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.