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CLARK FAMILY MEDICINE
NPI 1518740091
Family Medicine in Pocatello, ID

Active since August 17, 2023
1246 YELLOWSTONE AVE STE A2, POCATELLO, ID 83201(208) 595-6976(208) 480-9590 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Clark Family Medicine NPPES

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

CLARK FAMILY MEDICINE (NPI 1518740091) is a healthcare organization registered as a family medicine in Pocatello, Idaho and active in the NPI registry since August 2023. The organization lists Sharla Clark, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1518740091
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLARK FAMILY MEDICINE
Location Address1246 YELLOWSTONE AVE STE A2Pocatello, ID 83201-4372
Mailing Address1246 Yellowstone Ave Ste A2Pocatello, ID 83201-4372 · (208) 595-6976 · Fax (208) 480-9590
Phone(208) 595-6976
Fax(208) 480-9590
Organization SubpartNo
Authorized OfficialSharla ClarkOwner/physician · (208) 595-6976
Enumeration DateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
✔ NPI 1518740091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1246 YELLOWSTONE AVE STE A2, Pocatello, ID 83201
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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 Clark Family Medicine's NPI number?

The NPI number for Clark Family Medicine is 1518740091. It was assigned to this organization in the NPPES registry on August 17, 2023.

Where is Clark Family Medicine located?

Clark Family Medicine is located at 1246 Yellowstone Ave Ste A2, Pocatello, ID 83201. The listed phone number is (208) 595-6976.

What is Clark Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Clark Family Medicine was last updated on August 17, 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.