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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARCUS CLARK
NPI 1407780018
Emergency Medical Technician, Basic in Walls, MS

Active since June 09, 2026
7808 PURIFOY DR, WALLS, MS 38680(901) 216-6650 Get Directions Write a Review

NPPES record added: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marcus Clark NPPES

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

MARCUS CLARK (NPI 1407780018) is an individual emergency medical technician, basic provider in Walls, Mississippi and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1407780018
Entity TypeIndividualMale
Primary Taxonomy146N00000X
Provider Legal NameMARCUS CLARK
Location Address7808 PURIFOY DRWalls, MS 38680-0009
Mailing Address7808 Purifoy DrWalls, MS 38680-0009
Phone(901) 216-6650
Sole ProprietorYes
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1407780018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
7808 PURIFOY DR, Walls, MS 38680
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Marcus Clark's NPI number?

The NPI number for Marcus Clark is 1407780018. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Marcus Clark located?

Marcus Clark practices at 7808 Purifoy Dr, Walls, MS 38680. The listed phone number is (901) 216-6650.

What is Marcus Clark's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Marcus Clark was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.