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EDGARDO CLARK
NPI 1063194561
Non-emergency Medical Transport (VAN) in Randolph, MA

Active since August 03, 2023
24 HIMOOR CIR, RANDOLPH, MA 02368(508) 243-4379 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edgardo Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGARDO CLARK (NPI 1063194561) is an individual non-emergency medical transport (van) provider in Randolph, Massachusetts, licensed in Massachusetts (S37922805) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1063194561
Entity TypeIndividualMale
Primary Taxonomy343900000X
Provider Legal NameEDGARDO CLARK
Location Address24 HIMOOR CIRRandolph, MA 02368-2429
Mailing Address24 Himoor CirRandolph, MA 02368-2429 · (508) 243-4379
Phone(508) 243-4379
Sole ProprietorYes
Enumeration DateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1063194561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
License✔ Licensed in MA · S37922805
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
24 HIMOOR CIR, Randolph, MA 02368
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgardo Clark's NPI number?

The NPI number for Edgardo Clark is 1063194561. It was assigned to this individual provider in the NPPES registry on August 3, 2023.

Where is Edgardo Clark located?

Edgardo Clark practices at 24 Himoor Cir, Randolph, MA 02368. The listed phone number is (508) 243-4379.

What is Edgardo Clark's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Edgardo Clark was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.