MEDICARE: ARC CLINICAL SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871169540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARC CLINICAL SOLUTIONS

Provider Business Mailing Address
First Line	:	500 N HURSTBOURNE PKWY STE 100
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-5399
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 JACKSON ST
Second Line	:
City	:	BEREA
State	:	KY
Zip	:	40403-1749
Country	:	US
Telephone Number	:	855-983-2583
Fax Number	:	859-407-4718

Authorized Official
Title or Position	:	VP OF CLINICAL SOLUTIONS
Name	:	LAUREN GILBERT
Credential	:
Telephone Number	:	502-702-4427

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	01/28/2022

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Directions to “ARC CLINICAL SOLUTIONS ” Practice Location

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