CLARK A GUNDERSON MD AMC
NPI 1861766321
Clinic/Center in Lake Charles, LA

Q: What is Clark A Gunderson MD Amc's NPI number?

The NPI number for Clark A Gunderson MD Amc is 1861766321. It was assigned to this organization in the NPPES registry on March 1, 2012.

Q: What is Clark A Gunderson MD Amc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since March 01, 2012

2615 ENTERPRISE BLVD, LAKE CHARLES, LA 70601(337) 439-0385(337) 433-5448 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Clark A Gunderson Md Amc NPPES

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

CLARK A GUNDERSON MD AMC (NPI 1861766321) is a healthcare organization registered as a clinic/center in Lake Charles, Louisiana and active in the NPI registry since March 2012. The organization lists Clark A Gunderson, President, as its authorized official.

NPPES Registry Identity

NPI1861766321

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCLARK A GUNDERSON MD AMC

Location Address2615 ENTERPRISE BLVDLake Charles, LA 70601-7686

Mailing Address2615 Enterprise BlvdLake Charles, LA 70601-7686 · (337) 439-0385 · Fax (337) 433-5448

Phone(337) 439-0385

Fax(337) 433-5448

Organization SubpartNo

Authorized OfficialClark A GundersonPresident · (337) 439-0385

Enumeration DateMarch 1, 2012

✔ NPI 1861766321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in LA · 0124589

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2615 ENTERPRISE BLVD, Lake Charles, LA 70601

Open in Google Maps ↗

Other Identifiers 1

Medicaid114305LA

Other Providers at the Same Location NPPES

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

STEVEN WRIGHT LCSW

Social Worker (Clinical)

2615 ENTERPRISE BLVD
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 480-7800

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 A Gunderson MD Amc's NPI number?

The NPI number for Clark A Gunderson MD Amc is 1861766321. It was assigned to this organization in the NPPES registry on March 1, 2012.

Where is Clark A Gunderson MD Amc located?

Clark A Gunderson MD Amc is located at 2615 Enterprise Blvd, Lake Charles, LA 70601. The listed phone number is (337) 439-0385.

What is Clark A Gunderson MD Amc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Clark A Gunderson MD Amc was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.