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MARY ANN CLARK
NPI 1881126894
Clinic/Center in Fort Huachuca, AZ

Active since March 29, 2017
2240 E WINROW AVE, FORT HUACHUCA, AZ 85613(520) 533-3533 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Ann Clark NPPES

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

MARY ANN CLARK (NPI 1881126894) is an individual clinic/center provider in Fort Huachuca, Arizona, licensed in Alabama (1-125268) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1881126894
Entity TypeIndividualFemale
Primary Taxonomy261Q00000X
Provider Legal NameMARY ANN CLARK
Location Address2240 E WINROW AVEFort Huachuca, AZ 85613
Mailing Address4571 Paseo BrazosSierra Vista, AZ 85635-2376
Phone(520) 533-3533
Sole ProprietorYes
Enumeration DateMarch 29, 2017
✔ NPI 1881126894 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 AL · 1-125268
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).
2240 E WINROW AVE, Fort Huachuca, AZ 85613
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Other Identifiers 1

Other1-125268AL · Alabama Boarn Of Nursing License Number

Other Providers at the Same Location NPPES 10

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

USA MEDDAC, RWBAHC
Clinic/Center (Primary Care)
2240 E WINROW AVE, USA MEDDAC, RWBAHC
FT. HUACHUCA, AZ 85613
Cochise County (520) 533-9034
DR. KARL KIYOTAKA FURUKAWA DDS
Dentist (Prosthodontics)
2240 E WINROW AVE, U.S. ARMY DENTAL ACTIVITY
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-3144
DR. KARI FRANCINE PINK AUD
Audiologist
2240 E WINROW AVE
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-9139
JOSHUA WAYNE OUTFLEET LPN
Licensed Practical Nurse
2240 E WINROW AVE, USA MEDDAC. RWBAHC
FORTT HUACHUCA, AZ 85613
Cochise County (520) 533-2627
KRISTINA MOFFETT RN
Registered Nurse
2240 E WINROW AVE, RAYMOND W BLISS AHC
FORT HUACHUCA, AZ 85613
Cochise County (520) 678-8375
SHARON JANE CALVERT PH.D.
Psychologist (Clinical)
2240 E WINROW AVE, USA MEDDAC, RWBAHC ATTN: MCXJ-CREDENTIALS
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-1696
STEPHANIE TYSON
Social Worker (Clinical)
2240 E WINROW AVE, USA MEDDAC MISC
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-9951
JENNIFER RUST
Pharmacist
2240 E WINROW AVE
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-2419

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 Mary Ann Clark's NPI number?

The NPI number for Mary Ann Clark is 1881126894. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Mary Ann Clark located?

Mary Ann Clark practices at 2240 E Winrow Ave, Fort Huachuca, AZ 85613. The listed phone number is (520) 533-3533.

What is Mary Ann Clark'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 Mary Ann Clark was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.