OrganizationActive
Clark Family Clinic, LLC
NPI 1801391719 · Primary Care Clinic/Center · Bolivar, TN
Clark Family Clinic, LLC is a Primary Care Clinic/Center organization in Bolivar, TN (NPI 1801391719).
Provider details
- NPI number
- 1801391719
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charlene Clark, Family Nurse Pracititioner(901) 500-5766
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
649b W Mcneal St
Bolivar, TN 38008-2519
Phone: (731) 212-3324
Fax: (731) 212-3325
Street-level locationGet directions
Mailing address
Po Box 342
Bolivar, TN 38008-0342
Registry dates
- Enumerated
- 2018-03-24
- Last updated
- 2018-03-24
Frequently asked questions
- What is Clark Family Clinic, LLC's NPI number?
- Clark Family Clinic, LLC's National Provider Identifier (NPI) is 1801391719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clark Family Clinic, LLC?
- Clark Family Clinic, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Clark Family Clinic, LLC located?
- Clark Family Clinic, LLC's practice location on file with NPPES is 649b W Mcneal St, Bolivar, TN 38008-2519.
- What is Clark Family Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clark Family Clinic, LLC is (731) 212-3324.
- Who is the authorized official for Clark Family Clinic, LLC?
- The authorized official listed on Clark Family Clinic, LLC's NPPES record is Charlene Clark, Family Nurse Pracititioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clark Family Clinic, LLC's NPI active?
- Yes — Clark Family Clinic, LLC's NPI (1801391719) is active in the NPPES registry as of the last update on 2018-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.