Edgardo Clark
Non-emergency Medical Transport (VAN) in Randolph, Massachusetts
1063194561- Practice location
- 24 Himoor Cir, Randolph, MA 02368-2429
- Phone
- 508-243-4379
- Fax
- —
- Last updated
- August 3, 2023
Edgardo Clark is a Non-emergency Medical Transport (VAN) based in Randolph, MA. Edgardo Clark practices in Randolph, MA. The NPI Number for Edgardo Clark is 1063194561 and holds a License No. S37922805 (MA). The current practice location address for Edgardo Clark is 24 Himoor Cir, Randolph, MA 02368-2429 and can be reached out via phone at 508-243-4379.
Provider Profile Details
- NPI Number
- 1063194561
- Provider Name
- Edgardo Clark
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 24 Himoor Cir, Randolph, MA 02368-2429
- Phone Number
- 508-243-4379
- Primary Taxonomy
- Non-emergency Medical Transport (VAN) · 343900000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 3, 2023
- Last Update Date
- August 3, 2023
- Certification Date
- August 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 24 Himoor Cir
Randolph, MA 02368-2429 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-2429
- Phone Number
- 508-243-4379
Provider Business Mailing Address Details
- Address
- 24 Himoor Cir
Randolph, MA 02368-2429 - City
- Randolph
- State
- MA
- Zip
- 02368-2429
- Phone Number
- 508-243-4379
License Information
- License Number
- S37922805
- License State
- MA
- Taxonomy
- Non-emergency Medical Transport (VAN) · 343900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Edgardo Clark?
The NPI number of Edgardo Clark is 1063194561. It was assigned on August 3, 2023 and is currently active in the NPPES registry.
What is the specialty of Edgardo Clark?
Edgardo Clark is registered under the primary taxonomy Non-emergency Medical Transport (VAN) (code 343900000X), licensed in MA under license number S37922805.
Where does Edgardo Clark practice?
The practice location is 24 Himoor Cir, Randolph, MA 02368-2429. The office can be reached at 508-243-4379 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063194561 directly on the NPPES registry website.