NPI 1982629705

Clark Clinic, INC

Organisation Rural Health Clinic/Center Morton, MS

Practice location

Address: 36 Second St, Morton, MS 39117-3424
Phone: (601) 732-8612
Fax: (601) 732-1957

Authorised official

Name: Howard D Clark
Title: Medical Director
Phone: (601) 732-8612

Registered specialties

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X Licence 03575 (MS)

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1982629705
Entity type: Organization
NPI issued: 13 Jul 2006
Record last updated: 14 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.