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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for CLOVER FORK OUTPATIENT MEDICAL PROJECT INC

NPI # 1497195036
LBN Legal business name CLOVER FORK OUTPATIENT MEDICAL PROJECT INC
Authorized official BRITT LEWIS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2013
Last updated 11/20/2018 - About 8 years ago
Identifiers
KY License # 900168
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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