North Clark Medical Group Llc

LBN: North Clark Medical Group Llc
North Clark Medical Group Llc is an health care organization with primary practice located at 1802 E 10Th St , Jeffersonville IN 47130-6016. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Agencies / Case Management, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care, Laboratories / Clinical Medical Laboratory, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. North Clark Medical Group Llc can be contacted via phone (812) 288-2488, or through Nalley, Joseph via phone (502) 244-9859.

Contact Information

Primary practice address
1802 E 10Th St Jeffersonville IN 47130-6016
Phone: (812) 288-2488
Fax: (812) 288-6603
Website:
Map and Directions
Authorized official contact:
Name: Nalley, Joseph
Phone: (502) 244-9859

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Laboratories / Clinical Medical Laboratory 291U00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1376095711
LBN Legal business name North Clark Medical Group Llc
DBA Doing business as
Authorized official Nalley, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2016
Last updated Mar 21st, 2024 - about 9 months 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 1376095711 NPPES
Indiana MEDICAID 300010664
Indiana MEDICAID 7100535740
Indiana Other IN3604
Indiana Other K258180

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