Clark Infusion Group Llc

LBN: Clark Infusion Group Llc
Clark Infusion Group Llc is an health care organization with primary practice located at 124 Professional Ave , Winchester KY 40391-1116. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Clark Infusion Group Llc can be contacted via phone (859) 582-1730, or through Ruth, Kelsey Taylor via phone (859) 582-1730.

Contact Information

Primary practice address
124 Professional Ave Winchester KY 40391-1116
Fax:
Website:
Authorized official contact:
Name: Ruth, Kelsey Taylor

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1376384909
LBN Legal business name Clark Infusion Group Llc
DBA Doing business as
Authorized official Ruth, Kelsey Taylor
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2024
Last updated Jun 6th, 2024 - about last year

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 1376384909 NPPES
Kentucky MEDICAID 1811344211

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