Clark Family Care

LBN: Clark Family Care
Clark Family Care is an health care organization with primary practice located at 29 Canary Ln , Winchester KY 40391-1645. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Clark Family Care can be contacted via phone (859) 745-4469, or through Moore, Scott via phone (859) 745-4469.

Contact Information

Primary practice address
29 Canary Ln Winchester KY 40391-1645
Phone: (859) 745-4469
Fax: (859) 745-6918
Website:
Map and Directions
Authorized official contact:
Name: Moore, Scott Doctor of Medicine (MD)
Phone: (859) 745-4469

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38679 Kentucky

Profile Details

NPI number 1427068626
LBN Legal business name Clark Family Care
DBA Doing business as
Authorized official Moore, Scott Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Dec 2nd, 2011 - about 15 years 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 1427068626 NPPES
Kentucky Other 1213053 CHA PROVIDER ID
Kentucky MEDICAID 35001700 CHA PROVIDER ID
Kentucky Other 000000326872 CHA PROVIDER ID
Kentucky MEDICAID 64075468 CHA PROVIDER ID

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