National Provider Identifier Database

CLOVER FORK OUTPATIENT MEDICAL PROJECT INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

CLOVER FORK OUTPATIENT MEDICAL PROJECT INC
209 E MOUND ST
HARLAN, KY40831-2321
Phone: 606-573-1975
Fax: 606-837-9389
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for CLOVER FORK OUTPATIENT MEDICAL PROJECT INC

NPI Number 1497195036
Legal business name
LBN
CLOVER FORK OUTPATIENT MEDICAL PROJECT INC
Authorized official BRITT LEWIS - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 06/27/2013
Last updated 11/20/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 900168

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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