MR. RUSSELL CLARK (NPI# 1952554420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952554420 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL CLARK |
| Practice Address |
1412 Liatris Way Beaumont CA 92223-8468 |
| Practice Telephone | 9517691241 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 515669CA | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538692249 | Russell Clark | Audiologist | 3101 E State St Ste 2108, Eagle, ID 83616-6232 | 2017-04-10 |
| 1639530686 | Russell Derrick Clark | Physical Therapist | 1011 Grove Rd Ste 2a, Greenville, SC 29605-4660 | 2016-03-17 |
| 1548641087 | Russell L Clark | Nurse Practitioner | 3443 Dickerson Pike Ste 660, Nashville, TN 37207-2519 | 2015-06-10 |
| 1740232156 | Russell J Clark | Specialist | Two St. Mark's Place, Ste 110, La Grange, TX 78945 | 2006-05-16 |
| 1336784578 | Russell M Clark | Counselor | 528 E Main St Ste W, John Day, OR 97845-1289 | 2019-11-12 |
| 1306060249 | Russell Adelbert Clark | Dentist | 7825 47th Ave Ne, Suite C, Marysville, WA 98270-3732 | 2007-04-12 |
| 1790787497 | Russell Patrick Clark | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2005-08-11 |
| Street Address |
1412 LIATRIS WAY |
| City | BEAUMONT |
| State | CA |
| Zip Code | 92223-8468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
| 1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
| 1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| Find all providers in zip 92223 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881932663 | Victory Medical Center Beaumont, L.p. | General Acute Care Hospital | 6025 Metropolitan Drive, Victory Medical Center Beaumont, Beaumont, TX 77706 | 2013-01-29 |
| 1265971691 | Baptist Hospital of Southeast Texas | General Acute Care Hospital | 3080 College St, Beaumont, TX 77701-4606 | 2017-02-17 |
| 1417399080 | Reliant Physicians of Southeast Texas Pllc | General Acute Care Hospital | 3070 College Street, Suite 401, Beaumont, TX 77701 | 2013-07-24 |
| 1093744187 | Baptist Hospitals of Southeast Texas | General Acute Care Hospital | 3080 College St, Beaumont, TX 77701-4606 | 2006-07-01 |
| 1962486803 | Bbji, Lp | General Acute Care Hospital | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
| 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.