Organization Active NPI

Clark Memorial Hospital Urgent Care, Sellersburg

  • Urgent Care Clinic/Center
  • Sellersburg, IN
National Provider Identifier
1851494702
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CLARK MEMORIAL HOSPITAL URGENT CARE, SELLERSBURG
Practice address
130 Hunter Station Way
Sellersburg, IN 47172
Phone
(812) 246-4808
NPI assigned
Sep 6, 2006
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Mr. Kirk Strack
Title
Cfo
Phone
(812) 282-6631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

130 Hunter Station Way
Sellersburg, IN 47172

Mailing address

130 Hunter Station Way
Sellersburg, IN 47172
Phone (812) 246-4808

Other identifiers 1

IdentifierTypeStateIssuer
CD6896OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

130 Hunter Station Way
Sellersburg, IN 47172
Phone (812) 246-4808

130 Hunter Station Way
Ste 1
Sellersburg, IN 47172
Phone (812) 246-4808

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1851494702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HUNTER STATION WAY",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "47172",
            "telephone_number": "812-246-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HUNTER STATION WAY",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "47172",
            "telephone_number": "812-246-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK MEMORIAL HOSPITAL URGENT CARE, SELLERSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "STRACK",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "812-282-6631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD6896",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.