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Contact Information

CLARK AND ASSOCIATES, INC
527 PARK LN
WATERLOO, IA50702-5236
 Phone: 319-233-8911
 Fax: 319-287-5350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for CLARK AND ASSOCIATES, INC

NPI Number 1164501441
LBN Legal business name CLARK AND ASSOCIATES, INC
Authorized official JENNIFER SIMMONS - (REGULATORY COMPLIANCE ANALYST III)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/06/2006
Last updated 05/18/2026 - About 3 weeks ago
Identifiers
IA Medicaid 0276402
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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