MS. DENISE VERNALL CLARK (NPI# 1194991349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194991349 |
Entity Type | Individual |
Full Name | MS. DENISE VERNALL CLARK |
Credential | EMT |
Practice Address |
258 S Thomas Street Elberton GA 30635 |
Practice Telephone | 7062835837 |
Practice Fax Number | 7062835837 |
Mailing Telephone | 7062835837 |
Mailing Fax Number | 7062835837 |
Enumeration Date | 2008-05-07 |
Last Update Date | 2008-05-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146M00000X | Emergency Medical Technician, Intermediate | 35838 | GA | Emergency Medical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578990487 | Denise Lorrayne Clark | Registered Nurse | 30818 412th Dr Ne, Arlington, WA 98223 | 2013-10-09 |
1801035845 | Denise Clark | Technician, Cardiology | 977 E Howe Rd, Tallmadge, OH 44278-1605 | 2009-02-15 |
1326227398 | Denise Maureen Clark | Naturopath | 5330 Manhattan Circle, Suite B, Boulder, CO 80303 | 2007-10-26 |
1235122052 | Denise Maureen Clark | Pediatrics | 24690 Bench Ln, Oak Creek, CO 80467-8545 | 2005-08-26 |
1922617471 | Denise Monique Clark | Counselor | 1030 Fayetteville Rd Se, Atlanta, GA 30316-2921 | 2020-07-29 |
1336777549 | Denise Nogueira Clark | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-01 |
1508403726 | Denise Clark | Pharmacist | 4672 State St, Saginaw, MI 48603-3805 | 2019-12-06 |
1184285454 | Denise Clark | Occupational Therapist | 1101 S Scott Rd, Saint Johns, MI 48879-8044 | 2019-06-26 |
1720585896 | Denise Clark | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-04-06 |
1295172922 | Denise Marie Clark | Occupational Therapist | 30 Northwoods Blvd, Columbus, OH 43235-4716 | 2013-06-04 |
Street Address |
258 S THOMAS STREET |
City | ELBERTON |
State | GA |
Zip Code | 30635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215106422 | City of Angels | Non-emergency Medical Transport (VAN) | 258 S Thomas Street, Elberton, GA 30635-0000 | 2008-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275950602 | Frank Thomas Varney | General Practice | 3557 Calhoun Falls Hwy, Elberton, GA 30635 | 2014-03-24 |
1922348291 | Tammy Heard Host Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Upshaw Dr, Elberton, GA 30635 | 2013-02-25 |
1043593031 | Jeffrey Allen Burke | Pharmacist | 18 College Ave., Walgreens #11166, Elberton, GA 30635 | 2011-09-26 |
1467698886 | Ingles Markets Inc | Pharmacy | 903 Elberton St, Elberton, GA 30635 | 2009-01-07 |
1629149141 | Elbert County School District | Local Education Agency (LEA) | 50 Laurel Drive, Elberton, GA 30635 | 2006-11-13 |
1588745707 | Carl Mankiewicz | Chiropractor | 14 Laurel Dr, Elberton, GA 30635 | 2006-10-17 |
1982964821 | Suzanne Peers Moore | Counselor | 93 Carey St, Elberton, GA 30635-1435 | 2012-05-25 |
1255601597 | G Daniel Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 242 N Oliver St, Elberton, GA 30635-1444 | 2012-01-04 |
1093379943 | Cassandra Darlene Barksdale | Technician | 242 N Oliver St, Elberton, GA 30635-1444 | 2019-04-25 |
1770985285 | Sache Hood | Pharmacist | 215 Atlantic St, Elberton, GA 30635-1512 | 2014-09-16 |
Find all providers in zip 30635 |
Taxonomy Code | 146M00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Intermediate |
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346850856 | Christopher Lee Bailey | Emergency Medical Technician, Intermediate | 1893 Lathrop St Se, Atlanta, GA 30315-6917 | 2020-08-10 |
1881214872 | Roger Lee Jackson II | Emergency Medical Technician, Intermediate | 713 Clifton Rd Se, Atlanta, GA 30316-2229 | 2020-04-20 |
1487210704 | Andre Grant | Emergency Medical Technician, Intermediate | 2136 W Park Ct Ste B, Stone Mountain, GA 30087-3528 | 2019-05-13 |
1760944334 | Arelious Dunn | Emergency Medical Technician, Intermediate | 6722 Highway 85 Ste 5, Riverdale, GA 30274-2373 | 2019-04-03 |
1811488836 | Jeffrey Touchberry | Emergency Medical Technician, Intermediate | 217 Lovebridge Dr Se, Calhoun, GA 30701-4800 | 2018-05-24 |
1750800058 | Shawn Anthony Moore | Emergency Medical Technician, Intermediate | 900 N Hairston Rd Ste A3, Stone Mountain, GA 30083-2857 | 2017-09-18 |
1689101479 | Pamela Olivia Dugar | Emergency Medical Technician, Intermediate | 3117 Deans Bridge Rd, Augusta, GA 30906-3379 | 2017-05-11 |
1457890824 | James Richard Dow II | Emergency Medical Technician, Intermediate | 1453 Wood Park Way Nw, Kennesaw, GA 30152-4670 | 2017-02-18 |
1023566387 | Kalli Pelar Coleman Addison | Emergency Medical Technician, Intermediate | 131 Cypress Ln, Eatonton, GA 31024-7567 | 2016-09-15 |
1437567385 | Anthony Quinn Hodge | Emergency Medical Technician, Intermediate | 4035 Jonesboro Rd Ste 240, Forest Park, GA 30297-1035 | 2014-07-23 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.