JOHN W. CLARK PA
NPI 1275904435
Durable Medical Equipment & Medical Supplies - Customized Equipment in Bangor, ME

Active since October 14, 2015
753 STILLWATER AVE, BANGOR, ME 04401(207) 990-5887(207) 307-7002 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John W. Clark Pa NPPES

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

JOHN W. CLARK PA (NPI 1275904435) is a healthcare organization registered as a customized equipment in Bangor, Maine and active in the NPI registry since October 2015. The organization lists John W Clark, President, as its authorized official.

NPPES Registry Identity

NPI1275904435
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameJOHN W. CLARK PA
Location Address753 STILLWATER AVEBangor, ME 04401-3633
Mailing Address753 Stillwater AveBangor, ME 04401-3633 · (207) 990-5887 · Fax (207) 564-8489
Fax(207) 307-7002
Organization SubpartNo
Authorized OfficialJohn W ClarkPresident · (207) 564-8197
Enumeration DateOctober 14, 2015
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
NPI 1275904435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code332BC3200X
License Licensed in ME · 3365
753 STILLWATER AVE, Bangor, ME 04401

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hearing Aid Equipment
753 STILLWATER AVE, SUITE 2
BANGOR, ME 04401
Dentist
753 STILLWATER AVE
BANGOR, ME 04401
Denturist
753 STILLWATER AVE
BANGOR, ME 04401

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 John W. Clark PA's NPI number?

The NPI number for John W. Clark PA is 1275904435. It was assigned to this organization in the NPPES registry on October 14, 2015.

Where is John W. Clark PA located?

John W. Clark PA is located at 753 Stillwater Ave, Bangor, ME 04401. The listed phone number is (207) 990-5887.

What is John W. Clark PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for John W. Clark PA was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.