Clark Memorial Hospital
Rehabilitation, Substance Use Disorder Unit in Jeffersonville, IN. Organization (NPI-2).
NPI number1710082102
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1710082102
- Entity type
- Organization (NPI-2)
- Legal business name
- Clark Memorial Hospital
- Organization subpart
- No
- Enumeration date
- Sep 13, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 276400000X | Rehabilitation, Substance Use Disorder Unit | 05-005009 | IN | Yes |
Practice location
1220 Missouri AveJeffersonville, IN 47130-3725
Phone 812-282-6631 · Fax 812-283-2688
Mailing address
1220 Missouri AveJeffersonville, IN 47130-3725
Phone 812-282-6631 · Fax 812-283-2688
Authorized official
Kirk William Strack
Vice President Of Finance And Cfo
8122832448
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.