Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Clark Family Clinic, LLC

Primary Care Clinic/Center in Bolivar, TN · enumerated 2018 · authorized official Charlene Clark, Family Nurse Pracititioner.

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

National Provider Identifier

1801391719

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Registry record

Entity type Organization (Type 2)

Legal business name Clark Family Clinic, LLC

Practice address 649b W Mcneal St, Bolivar, TN, 38008

Phone (731) 212-3324

Fax (731) 212-3325

Enumeration date Mar 24, 2018

Last updated in NPPES Mar 24, 2018

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Charlene Clark

Title Family Nurse Pracititioner

Phone (901) 500-5766

Other identifiers

Identifier	Type	State	Issuer
Q008745	Medicaid	TN	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-03-24. Verify at npiregistry.cms.hhs.gov.

Where is Clark Family Clinic, LLC located?

The practice location on file with NPPES is in Bolivar, TN.

Providers at this address

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Miracle Healthcare LLC Family Nurse Practitioner · Bolivar, TN NPI 1780908228

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-24.