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Clark Medical Ventures, LLC

Rural Health Clinic/Center in Winchester, KY · enumerated 2013 · authorized official Brittany Underwood, Credentialing Agent.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043650591

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Registry record

Entity type Organization (Type 2)
Legal business name Clark Medical Ventures, LLC
Other name <Unavail>
Practice address 174 Pedro Way, Winchester, KY, 40391
Enumeration date Jun 28, 2013
Last updated in NPPES Sep 2, 2021

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License 900176 (KY) Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Brittany Underwood
Title Credentialing Agent

Other identifiers

Identifier Type State Issuer
7100303720 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Clark Medical Ventures, LLC?
NPPES lists Brittany Underwood (Credentialing Agent) as the authorized official for this organization.
What is the NPI number for Clark Medical Ventures, LLC?
The NPI for Clark Medical Ventures, LLC is 1043650591, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-02.