CLARK FAMILY CLINIC, LLC
NPI 1801391719
Clinic/Center - Primary Care in Bolivar, TN

Q: What is Clark Family Clinic, LLC's NPI number?

The NPI number for Clark Family Clinic, LLC is 1801391719. It was assigned to this organization in the NPPES registry on March 24, 2018.

Q: What is Clark Family Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since March 24, 2018

649B W MCNEAL ST, BOLIVAR, TN 38008(731) 212-3324(731) 212-3325 Get Directions Write a Review

NPPES record last updated: March 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Clark Family Clinic, Llc NPPES

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

CLARK FAMILY CLINIC, LLC (NPI 1801391719) is a healthcare organization registered as a primary care in Bolivar, Tennessee and active in the NPI registry since March 2018. The organization lists Charlene E Clark, Family Nurse Pracititioner, as its authorized official.

NPPES Registry Identity

NPI1801391719

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCLARK FAMILY CLINIC, LLC

Location Address649B W MCNEAL STBolivar, TN 38008-2519

Mailing AddressPo Box 342Bolivar, TN 38008-0342 · (901) 500-5766 · Fax (731) 212-3325

Phone(731) 212-3324

Fax(731) 212-3325

Organization SubpartNo

Authorized OfficialCharlene E ClarkFamily Nurse Pracititioner · (901) 500-5766

Enumeration DateMarch 24, 2018

✔ NPI 1801391719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

649B W MCNEAL ST, Bolivar, TN 38008

Open in Google Maps ↗

Other Identifiers 1

MedicaidQ008745TN

Other Providers at the Same Location NPPES

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

MIRACLE HEALTHCARE LLC

Nurse Practitioner (Family)

649B W MCNEAL ST
BOLIVAR, TN 38008

Hardeman County (731) 658-2885

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 Clinic, LLC's NPI number?

The NPI number for Clark Family Clinic, LLC is 1801391719. It was assigned to this organization in the NPPES registry on March 24, 2018.

Where is Clark Family Clinic, LLC located?

Clark Family Clinic, LLC is located at 649B W Mcneal St, Bolivar, TN 38008. The listed phone number is (731) 212-3324.

What is Clark Family Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Clark Family Clinic, LLC was last updated on March 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.