Clark Ltc Pa

ActiveOrganizationInternal Medicine
NPI issued: July 31, 2023

Quick Facts

NPI Number
1104507235
TypeOrganization
StatusActive
SpecialtyInternal Medicine
Taxonomy207R00000X — Internal Medicine
Phone
(352) 793-2441
StateFL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104507235)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (July 31, 2023)
Data source: CMS NPPES

Provider Overview

CLARK LTC PA is a Internal Medicine provider based in Bushnell, FL who has been registered with CMS since 2023. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104507235
Provider TypeOrganization
StatusActive
Enumeration DateJuly 31, 2023

Practice Location

CityBushnell
StateFL
ZIP Code33513-6703
Phone(352) 793-2441

Specialties & Licenses

★ Primary
SpecialtyInternal Medicine
Taxonomy Code207R00000X
License StateFL

Mailing Address

CityBushnell
StateFL
ZIP Code33513-6703
Phone(352) 793-2441
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104507235 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104507235for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104507235 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Internal Medicine

Internal Medicine physicians (internists) specialize in the prevention, diagnosis, and nonsurgical treatment of adult illnesses, managing complex chronic conditions and multi-system diseases.

Browse all Internal Medicineproviders →
📊
213,549
Internal Medicine Providers in the US

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People Also Ask

What is Clark Ltc Pa's NPI number?
Clark Ltc Pa's NPI number is 1104507235, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Clark Ltc Pa's NPI currently active?
Yes, Clark Ltc Pa's NPI status is Active as of the latest CMS NPPES database updates.
What does Clark Ltc Pa specialize in?
Clark Ltc Pa specializes in Internal Medicine. The healthcare taxonomy code associated with this specialty is 207R00000X.
Where does Clark Ltc Pa practice?
Clark Ltc Pa practices in Bushnell, FL 33513-6703.
When was Clark Ltc Pa's NPI issued?
Clark Ltc Pa's NPI was issued on July 31, 2023.
What is Clark Ltc Pa's provider type?
Clark Ltc Pa is registered as an Organization under CMS NPI Type 2.