Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1992077077 |
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| LBN Legal business name | CLARKSVILLE PHYSICIAN SERVICES, LLC | ||||
| Authorized official | WENDY MONACI - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/03/2012 | ||||
| Last updated | 02/03/2026 - About 4 months ago | ||||
| Identifiers |
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