MR. ALBERT WAYNE CLARK JR. (NPI# 1588150965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588150965 |
| Entity Type | Individual |
| Full Name | MR. ALBERT WAYNE CLARK JR. |
| Practice Address |
4343 Main St Springfield OR 97478-7647 |
| Practice Telephone | 5412007037 |
| Practice Fax Number | 5413346119 |
| Mailing Telephone | 5412007037 |
| Mailing Fax Number | 5413346119 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | OR | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665155 | Albert Clark | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2019-08-22 |
| 1477571677 | Albert Baxter Clark | Dentist | 1355 N University Ave, Suite 320, Provo, UT 84604-2721 | 2006-07-17 |
| Street Address |
4343 MAIN ST |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97478-7647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979151 | Better Horizons In-home Care, Inc | Home Health | 4343 Main St, Springfield, OR 97478 | 2019-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1831691310 | Michael Ryan Odle | Psychologist | 36716 Oak Point Rd, Springfield, OR 97478 | 2018-03-01 |
| 1639612880 | Icco LLC | Clinic/Center | 5781 Main Street, Springfield, OR 97478 | 2016-11-21 |
| 1639529258 | Nate John Sutherland | Behavioral Analyst | 37770 Upper Creek Road, Springfield, OR 97478 | 2016-06-14 |
| 1457760134 | Leah Rybolt | Physical Therapist | 145 South 52nd Place, Springfield, OR 97478 | 2014-08-07 |
| 1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
| 1245589753 | Sarah M Boothe | Doula | 870 S 46th St, Springfield, OR 97478 | 2012-08-30 |
| 1902155401 | Dani Maree Hill | Pharmacist | 5744 Main Street, Springfield, OR 97478 | 2012-08-30 |
| 1295005312 | Express Services Unlimited, Inc. | Non-emergency Medical Transport (VAN) | 37506 Hills Creek Road, Springfield, OR 97478 | 2012-01-05 |
| 1255524468 | Leeann D Fields | Licensed Practical Nurse | 3318 Lakeview Dr, Eugene, OR 97478 | 2007-08-21 |
| Find all providers in zip 97478 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393450 | Tonya L Wilson | Home Health Aide | 719 N Belmont Ave, Springfield, OH 45503-4552 | 2020-10-15 |
| 1013515964 | April Dense Flora | Home Health Aide | 1614 Memorial Dr, Springfield, OH 45505-4421 | 2020-10-13 |
| 1336746114 | Nicole Burson | Home Health Aide | 3421 Rebert Pike, Springfield, OH 45502-9737 | 2020-10-05 |
| 1720694813 | Regina Yvetta Thrasher | Home Health Aide | 1901 Marinette Dr, Springfield, OH 45503-2136 | 2020-09-23 |
| 1609482025 | Frank Wilson | Home Health Aide | 202 Neosha Ave, Springfield, OH 45505-4964 | 2020-09-21 |
| 1336755768 | Terri Patton | Home Health Aide | 1361 Maryland Ave, Springfield, OH 45505-3261 | 2020-09-21 |
| 1871108126 | Toni Lewis | Home Health Aide | 6114 Prairie Rd, Springfield, OH 45502-9231 | 2020-09-14 |
| 1376166637 | Springfield Illinois Homecare LLC | Home Health Aide | 2731 S Macarthur Blvd Ste 201, Springfield, IL 62704-5081 | 2020-05-21 |
| 1962037713 | Teroy Cunningham | Home Health Aide | 356 S Yellow Springs St, Springfield, OH 45506-1539 | 2020-03-11 |
| 1417587288 | Todicia D Johnson | Home Health Aide | 1423 S Yellow Springs St, Springfield, OH 45506-2544 | 2020-01-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97478 |
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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.