| Clarks Medical Services LLC | |
|
1946 42nd St Ne Cedar Rapids IA 52402-3041 | |
| (319) 200-4266 | |
| Not Available |
| Full Name | Clarks Medical Services LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1946 42nd St Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Craig Clark (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3192004266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarks Medical Services LLC 1946 42nd St Ne Cedar Rapids IA 52402-3041 | Clarks Medical Services LLC 1946 42nd St Ne Cedar Rapids IA 52402-3041 Ph: (319) 200-4266 |
| NPI Number | 1225806888 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 09/30/2025 |
| Certification Date | 09/30/2025 |
| Medicare PECOS PAC ID | 2163964537 |
|---|---|
| Medicare Enrollment ID | O20240613000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225806888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 3336C0002X | Pharmacy - Clinic Pharmacy | () | Secondary |
| Provider Name | Tammy a Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184703571 PECOS PAC ID: 3971403866 Enrollment ID: I20100302000679 |
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