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SAMANTHA IRENE CLARK IDC
NPI 1932510377
Military Health Care Provider - Independent Duty Corpsman in Fpo, AE

Active since May 19, 2014
PSC 851 BOX 340, FPO, AE 09834(318) 439-9053(318) 439-9053 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Irene Clark Idc NPPES

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

SAMANTHA IRENE CLARK IDC (NPI 1932510377) is an individual independent duty corpsman provider in Fpo, AE and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1932510377
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameSAMANTHA IRENE CLARKCredential: IDC
Location AddressPSC 851 BOX 340Fpo, AE 09834-0004
Mailing AddressPsc 851 Box 340Fpo, AE 09834-0004 · (508) 361-7875
Phone(318) 439-9053
Fax(318) 439-9053
Sole ProprietorYes
Enumeration DateMay 19, 2014
✔ NPI 1932510377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

Other Providers at the Same Location NPPES 19

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

DR. CARLOS E GOMEZ MD
Family Medicine
PSC 851 BOX 340
FPO, AE 09834
(318) 439-8124
ROBERT JAMES TAYLOR IDC
Military Health Care Provider (Independent Duty Corpsman)
PSC 851 BOX 340
FPO, MANAMA 09834
(407) 284-8372
MR. SEON F THOMPSON LMSW, BCD
Social Worker (Clinical)
PSC 851 BOX 340
FPO, AE 09834
(973) 341-4689
LAUREN TUCKER
Nurse Practitioner (Family)
PSC 851 BOX 340
FPO, AE 09834
(318) 439-4260
JESSE GILLEY
Social Worker (Clinical)
PSC 851 BOX 340
FPO, AE 09834
(318) 439-4260
VICTORIA MEDVED PT, DPT
Physical Therapist
PSC 851 BOX 340
FPO, AE 09834
(973) 439-6006
RACHEL YEH EUN LEE PT, DPT
Physical Therapist
PSC 851 BOX 340
FPO, AE 09834
(011) 973-1785
DR. JOHN FREDERICK LUPFER DDS
Dentist (General Practice)
PSC 851 BOX 340
FPO, AE 09834
(318) 439-6833

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 Samantha Clark's NPI number?

The NPI number for Samantha Clark is 1932510377. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Samantha Clark located?

Samantha Clark practices at Psc 851 Box 340, Fpo, AE 09834. The listed phone number is (318) 439-9053.

What is Samantha Clark's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Samantha Clark was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.