Provider Demographics
NPI:1871169540
Name:ARC CLINICAL SOLUTIONS
Entity type:Organization
Organization Name:ARC CLINICAL SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF CLINICAL SOLUTIONS
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-702-4427
Mailing Address - Street 1:500 N HURSTBOURNE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-5399
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 JACKSON ST
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:KY
Practice Address - Zip Code:40403-1749
Practice Address - Country:US
Practice Address - Phone:855-983-2583
Practice Address - Fax:859-407-4718
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCCORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-02
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100709140Medicaid