JASON H CLARK & SANDRA J CLARK
NPI 1912185927
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Water Valley, MS

Active since February 01, 2008
3/5
Overall Rating
139 COUNTY ROAD 379, WATER VALLEY, MS 38965(662) 514-5215(662) 234-0172 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jason H Clark & Sandra J Clark NPPES

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

JASON H CLARK & SANDRA J CLARK (NPI 1912185927) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in Water Valley, Mississippi and active in the NPI registry since February 2008. The organization lists Jason Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1912185927
Entity TypeOrganization
Primary Taxonomy335V00000X
Legal Business NameJASON H CLARK & SANDRA J CLARK
Location Address139 COUNTY ROAD 379Water Valley, MS 38965-3607
Mailing AddressPo Box 994Oxford, MS 38655-0994 · (662) 514-5215 · Fax (662) 234-0172
Fax(662) 234-0172
Organization SubpartNo
Authorized OfficialJason ClarkOwner · (662) 514-5215
Enumeration DateFebruary 1, 2008
Last NPPES UpdateDecember 3, 2008
✔ NPI 1912185927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code335V00000X
License✔ Licensed in MS · MRT2279
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
139 COUNTY ROAD 379, Water Valley, MS 38965

Other Identifiers 2

Medicare PIN630000020MS
Medicaid09851011MS

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Set-up portable x-ray equipment Q0092
Portable X-ray equipment allows for imaging tests to be done at your location. The process involves positioning a mobile X-ray machine near you. An X-ray technician places a sensor on your body, which captures images of your internal structures. It's a quick, safe procedure.
1,036 services536 patients
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen R0070
This service involves bringing portable x-ray equipment and medical staff to your home or nursing home. It's designed for patients who cannot easily travel. The team will come to your location for a single visit to conduct the necessary x-ray examination.
649 services463 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
438 services330 patients
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen R0075
This service involves the delivery of portable x-ray equipment and trained personnel to a home or nursing home. It's designed for situations where multiple patients at the same location require x-ray imaging. The goal is to provide convenient and efficient medical imaging without the need for patients to travel.
193 services135 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
125 services88 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
58 services51 patients

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Yalobusha County Nursing Home (CMS certification number 25A174), from CMS Care Compare.

Yalobusha County Nursing Home

Nursing home · Water Valley, MS
3/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number25A174
Certified Beds122 beds83 residents per day on average
Medicare & Medicaid Participant SinceMarch 31, 1974
Resident & Family CouncilResident council
Hospital-based Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
21.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.62 · LPN 1.47 · RN 0.45
4.53 hrs per resident per day
Weekend Nurse Staffing
3.83 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
34%
Registered Nurse Turnover
30.8%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Fines
1 totaling $657.80
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

Radiologic Technologist (Radiography)
139 COUNTY ROAD 379
WATER VALLEY, MS 38965

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 Jason H Clark & Sandra J Clark's NPI number?

The NPI number for Jason H Clark & Sandra J Clark is 1912185927. It was assigned to this organization in the NPPES registry on February 1, 2008.

Where is Jason H Clark & Sandra J Clark located?

Jason H Clark & Sandra J Clark is located at 139 County Road 379, Water Valley, MS 38965. The listed phone number is (662) 514-5215.

What is Jason H Clark & Sandra J Clark's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

Is Jason H Clark & Sandra J Clark a Medicare-certified nursing home?

Yes. Yalobusha County Nursing Home is a Medicare-certified nursing home with 122 certified beds.

What quality rating does Jason H Clark & Sandra J Clark have?

CMS rates Yalobusha County Nursing Home 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Jason H Clark & Sandra J Clark was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.