Clark Memorial Hospital

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

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

Feb 16, 2007

Last updated

Aug 22, 2020By 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. Kirk William Strack

Title

Vice President of Finance and Cfo

Phone

(812) 283-2448

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

CMH Dba Primary Care SV2 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.

• Southern Home Care

  dba VNA Nazareth Homecare - Indiana

  • Home Health Agency
  • Jeffersonville, IN
  • NPI 1205033354
  NPD tax ID

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891839874",
    "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": "2007-02-16",
        "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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark Co. Health Dept.
• Clark County Auditor (Clark County Health Department)
• Clark County Medical Transport LLC
• Clark Memorial Hospital (Primary Care Services)
• Clark Memorial Hospital
• Clark Physician Group LLC
• Bonnie Lou Clark, PMHNP-BC
• Emily Marie Clark, PT,DPT
• Lisa Clark
• Nancy Elizabeth Clark

• Clinical Medical Laboratory in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Clinical Medical Laboratory 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.