| Clark Clinic Inc | |
|
212 S Florida St Bushnell FL 33513-6703 | |
| (352) 793-2441 | |
| (352) 793-2649 |
| Full Name | Clark Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 212 S Florida St, Bushnell, Florida |
| Authorized Official Name and Position | Elizabeth E Folk (PRESIDENT) |
| Authorized Official Contact | 3527932441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Clinic Inc 212 S Florida St Bushnell FL 33513-6703 Ph: (352) 793-2441 | Clark Clinic Inc 212 S Florida St Bushnell FL 33513-6703 Ph: (352) 793-2441 |
| NPI Number | 1376733857 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 12/27/2007 |
| Medicare PECOS PAC ID | 1759278203 |
|---|---|
| Medicare Enrollment ID | O20070921000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376733857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Florida) | Primary |
Clark Ltc Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 S Florida St, Bushnell, FL 33513 Phone: 352-793-2441 | |
Carefirst Aco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 W County Road 48, Bushnell, FL 33513 Phone: 352-516-3972 | |
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