HARRY CLARK JR. (NPI# 1548793458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548793458 |
| Entity Type | Individual |
| Full Name | HARRY CLARK JR. |
| Practice Address |
Hwy 491, North Pinon Street Shiprock NM 87420-1830 |
| Mailing Address |
Po Box 1830 Hwy 491, North Pinon Street Shiprock NM 87420-1830 |
| Practice Telephone | 5053681050 |
| Practice Fax Number | 5053681462 |
| Mailing Telephone | 5053681050 |
| Mailing Fax Number | 5053681462 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093863110 | Harry Albert Clark Jr. | Dentist | 22a Millersville Rd, Lancaster, PA 17603-4249 | 2007-01-08 |
| Street Address |
HWY 491, NORTH PINON STREET |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326695578 | Sherman Woody | Counselor | Pinon & Cottonwood Dr Building # 2301, Shiprock, NM 87420-1830 | 2019-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245775196 | Emma Shows | Counselor | 2198 Candelero St, Santa Fe, NM 87505-5603 | 2017-01-02 |
| 1417378183 | Donna Berry | Counselor | 8713 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-2352 | 2013-12-26 |
| 1396185120 | Glenn E Price | Counselor | 2396 Cherry Hills Loop, Alamogordo, NM 88310-7747 | 2013-06-25 |
| 1598028268 | Felix Olmedo Gonzales Jr. | Counselor | 1530 E. Arizona St., Las Cruces, NM 88001 | 2012-06-19 |
| 1801160056 | George L Ramos | Counselor | 1204 La Poblana Rd Nw, Albuquerque, NM 87107-1006 | 2012-03-06 |
| 1689966442 | Cecil Lewis Jr. | Counselor | .5 Miles East of Hwy 371, .5 Miles East of Hwy 371, Thoreau, NM 87323-1289 | 2011-05-11 |
| 1881911188 | The Exodus 14/20 Psychosocial Rehab Center | Counselor | 919 Riverside Drive, Espanola, NM 87532 | 2010-04-26 |
| 1417977059 | Don J. Chavez | Counselor | 1533 S Saint Francis Dr, Suite E, Santa Fe, NM 87505-4032 | 2006-07-19 |
| 1609861269 | Jean Eva Thumm-bochenski | Counselor | 30 Estambre Rd, Santa Fe, NM 87508-8769 | 2005-09-20 |
| 1376822296 | Exodus Peer To Peer Recovery Center | Counselor | 419 E Main St, Farmington, NM 87401-2707 | 2011-08-09 |
| 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.