Provider Demographics
NPI:1952075111
Name:THE CLARK GROUP ASSOCIATES, INC.
Entity Type:Organization
Organization Name:THE CLARK GROUP ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARK
Authorized Official - Middle Name:E
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MED, RKT, LAT
Authorized Official - Phone:317-402-2753
Mailing Address - Street 1:PO BOX 214
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:IN
Mailing Address - Zip Code:46064-0214
Mailing Address - Country:US
Mailing Address - Phone:317-402-7523
Mailing Address - Fax:877-402-9441
Practice Address - Street 1:3831 E COUNTY ROAD 400 S
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:IN
Practice Address - Zip Code:47356-9505
Practice Address - Country:US
Practice Address - Phone:317-402-2753
Practice Address - Fax:877-402-9441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Single Specialty