Clark Center For Comprehensive Medicine P.C.

LBN: Clark Center For Comprehensive Medicine P.C.
Clark Center For Comprehensive Medicine P.C. is an health care organization with primary practice located at 29521 Ford Rd , Garden City MI 48135. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Clark Center For Comprehensive Medicine P.C. can be contacted via phone (734) 367-1205, or through Clark, Donald Godfrey via phone (734) 367-1205.

Contact Information

Primary practice address
29521 Ford Rd Garden City MI 48135
Fax: (734) 367-1214
Website:
Authorized official contact:
Name: Clark, Donald Godfrey

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1861521031
LBN Legal business name Clark Center For Comprehensive Medicine P.C.
DBA Doing business as
Authorized official Clark, Donald Godfrey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Mar 15th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861521031 NPPES
Other DB2730 MEDICARE RAIL ROAD
Other 110H221360 MEDICARE RAIL ROAD

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