Beverly C Clark (NPI# 1518337732, PAC ID# 2264730035) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518337732 |
| PAC ID by PECOS | 2264730035 |
| Professional Enrollment ID | I20160411001956 |
| Full Name | Beverly C Clark |
| Organization Legal Name | BAXTER REGIONAL HEALTH SYSTEM |
| Address |
803 W Main St Baxter Regional Aprn Clinic Mountain View AR 72560-8832 |
| Phone Number | 8702699800 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941507677 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040027 | BAXTER REGIONAL MEDICAL CENTER |
| 041310 | STONE COUNTY MEDICAL CENTER |
| 040119 | WHITE RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 803 W Main St, Baxter Regional Aprn Clinic, Mountain View, AR 72560-8832 | 8702699800 | BAXTER REGIONAL HEALTH SYSTEM |
| Organization Legal Name | BAXTER REGIONAL HEALTH SYSTEM |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Parrott | Certified Clinical Nurse Specialist (cns) | Baxter Regional Health System | 1402 N Kentucky Ave, Brmc Hometown Clinic At West Plains, West Plains, MO 65775-1822 |
| Kari Lindsey | Nurse Practitioner | Baxter Regional Health System | 2161 Hwy 56, Calico Rock, AR 72519-7009 |
| Charles H Grinder | Nurse Practitioner | Baxter Regional Health System | 103 Mountain Place Dr, Mountain View, AR 72560-6800 |
| Lesa Kerley | Nurse Practitioner | Baxter Regional Health System | 1402 N Kentucky Ave, Brmc Hometown Clinic At West Plains, West Plains, MO 65775-1822 |
| Candice Brooke Caldwell | Nurse Practitioner | Baxter Regional Health System | 103 Mountain Place Dr, Mountain View, AR 72560-6800 |
| Eric Spann | Family Medicine | Baxter Regional Health System | 103 Mountain Place Dr, Mountain View, AR 72560-6800 |
| James E Thompson Jr. | Family Medicine | Baxter Regional Health System | 1402 N Kentucky Ave, Brmc Hometown Clinic At West Plains, West Plains, MO 65775-1822 |
| Ashley N Walker | Nurse Practitioner | Baxter Regional Health System | 1019 E Main St, Hometown Clinic At Melbourne, Melbourne, AR 72556-8240 |
| Street Address |
803 W MAIN ST BAXTER REGIONAL APRN CLINIC |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip | 72560-8832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Irvin | Family Medicine | 803 W Main St, Mountain View, AR 72560-8832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Dean Varela | Orthopedic Surgery | 2110 E Main, Mountainview, AR 72560-0001 | |
| Darvin L Brown | Chiropractic | 503 W Main St, Mountain View, AR 72560-0318 | |
| Christopher E Deitrick | Optometry | Chris Deitrick Od Pa | 101 Case Commons Dr, Mountain View, AR 72560-5016 |
| Emily L Smith | Optometry | Chris Deitrick Od Pa | 101 Case Commons Dr, Mountain View, AR 72560-5016 |
| James Zini | Family Medicine | 1816 E Main St, Mountain View, AR 72560-6171 | |
| Calvin D Baize | Podiatry | 1816 E Main St, Mountain View, AR 72560-6171 | |
| Charles Pearrow | Family Medicine | 1816 E Main St, Mountain View, AR 72560-6171 | |
| Mary Beth Stage | Clinical Social Worker | Counseling Associates Inc | 113 N Peabody Ave, Suite B, Mountain View, AR 72560-6231 |
| Jodi M Gibson | Nurse Practitioner | White River Health System Inc | 2202 E Main St, Stone County Primary Care Clinic, Mountain View, AR 72560-6402 |
| Callie Taylor | Nurse Practitioner | White River Health System Inc | 2202 E Main St, Stone County Primary Care Clinic, Mountain View, AR 72560-6402 |
| Find all physicians in zip 72560 | |||
| City | MOUNTAIN VIEW |
| Zip Code | 72560 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOUNTAIN VIEW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Beverly C Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.