Clark Family Practice LLC

NPI #1912612961 in Byesville, Ohio

Provider Information

NPI Number: 1912612961
Entity Type: Organization
Organization Name: Clark Family Practice LLC
Primary Specialty: Clinic/Center - Health Service
Enumeration Date: Jan 13, 2023
Last Updated: May 27, 2025

Practice Location

Address: 293 W MAIN ST
City: Byesville
State: Ohio
ZIP Code: 43723-1137
Phone: (740) 685-6800

Authorized Official

Name: ELISHA ANNE CLARK, APRN
Title: APRN/OWNER
Phone: (740) 685-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Clinic/Center - Health Service — Health Service	261QH0100X	Primary

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