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CLARK CLINIC INC
NPI 1376733857
Clinic/Center - Rural Health in Bushnell, FL

Active since July 31, 2007
212 S FLORIDA ST, BUSHNELL, FL 33513(352) 793-2441(352) 793-2649 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clark Clinic Inc NPPES

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

CLARK CLINIC INC (NPI 1376733857) is a healthcare organization registered as a rural health in Bushnell, Florida and active in the NPI registry since July 2007. The organization lists Elizabeth E Folk, President, as its authorized official.

NPPES Registry Identity

NPI1376733857
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCLARK CLINIC INC
Location Address212 S FLORIDA STBushnell, FL 33513-6703
Mailing Address212 S Florida StBushnell, FL 33513-6703 · (352) 793-2441 · Fax (352) 793-2649
Phone(352) 793-2441
Fax(352) 793-2649
Organization SubpartNo
Authorized OfficialElizabeth E FolkPresident · (352) 793-2441
Enumeration DateJuly 31, 2007
Last NPPES UpdateDecember 27, 2007
✔ NPI 1376733857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
212 S FLORIDA ST, Bushnell, FL 33513
Open in Google Maps ↗

Other Identifiers 1

Medicare OSCAR/certification108972FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clark Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20070921000734Part A · Rural Health ClinicDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 18

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

SHARION DARLENE PRESSLEY NP
Emergency Medicine
212 S FLORIDA ST
BUSHNELL, FL 33513
Sumter County (352) 793-2441
CLARK LTC PA
Internal Medicine
212 S FLORIDA ST
BUSHNELL, FL 33513
Sumter County (352) 793-2441
MARY HYACINTH BODENHEIMER NURSE PRACTITIONER-C
Nurse Practitioner (Adult Health)
212 S FLORIDA ST
BUSHNELL, FL 33513
Sumter County (352) 793-2441
NOELLE MOONEYHAM ARNP
Nurse Practitioner
212 S FLORIDA ST
BUSHNELL, FL 33513
Sumter County (352) 793-2441
MRS. YANIRA ISBET LARA M.D.
Family Medicine
212 S FLORIDA ST
BUSHNELL, FL 33513
Sumter County (352) 793-2441
ELAINE I KINDER ARNP
Nurse Practitioner
212 S FLORIDA ST
BUSHNELL, FL 33513
Sumter County (352) 793-2441
LOWELL F. CLARK M.D.
Internal Medicine
212 S FLORIDA ST
BUSHNELL, FL 33513
Sumter County (352) 793-2441
VIJAYA L NAGABHAIRU MD
Family Medicine
212 S FLORIDA ST
BUSHNELL, FL 33513
Sumter County (352) 793-2441

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 Clark Clinic Inc's NPI number?

The NPI number for Clark Clinic Inc is 1376733857. It was assigned to this organization in the NPPES registry on July 31, 2007.

Where is Clark Clinic Inc located?

Clark Clinic Inc is located at 212 S Florida St, Bushnell, FL 33513. The listed phone number is (352) 793-2441.

What is Clark Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Clark Clinic Inc enrolled in Medicare?

Yes. Clark Clinic Inc is registered in the Medicare PECOS enrollment system.

When is Clark Clinic Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Florida, Rural Health Clinic) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Clark Clinic Inc accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Clark Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clark Clinic Inc was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.