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.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Federally Qualified Health Center (FQHC) | 261QF0400X |
| Primary Care | 261QP2300X | |
| Rural Health | 261QR1300X |
* Indicates primary specialty
| NPI Number | 1811939366 |
| Legal business name LBN |
CLOVER FORK OUTPATIENT MEDICAL PROJECT INC |
| Authorized official | BRITT LEWIS - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 06/11/2006 |
| Last updated | 11/19/2018 - About 8 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
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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