CLOVER FORK OUTPATIENT MEDICAL PROJECT INC; NPI #1811939366

Contact Information

CLOVER FORK OUTPATIENT MEDICAL PROJECT INC

101 CHAD ST
CLOVER FORK CLINIC
EVARTS, KY 40828-8200

Phone: 606-837-2108
Fax: 606-837-9389
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Primary Care	261QP2300X
Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

Edit contact information

NPI Profile & details for CLOVER FORK OUTPATIENT MEDICAL PROJECT INC

NPI Number 1811939366

LBN Legal business name CLOVER FORK OUTPATIENT MEDICAL PROJECT INC

Authorized official BRITT LEWIS - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/11/2006

Last updated 11/19/2018 - About 8 years ago

Identifiers

KY	License #	700006
KY	Medicaid	31000045
KY	Medicaid	7100323670

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.

Reviews for CLOVER FORK OUTPATIENT MEDICAL PROJECT INC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for CLOVER FORK OUTPATIENT MEDICAL PROJECT INC
Be the first to post a comment or review.

Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby AHC Facilities

ST. CHARLES HEALTH COUNCIL INC
100 MAIN STREET
SAINT CHARLES, VA

ST CHARLES HEALTH COUNCIL INC
213 MONARCH ROAD
SAINT CHARLES, VA

APPALACHIAN REGIONAL HEALTHCARE, INC
37 BALL PARK ROAD
HARLAN, KY

APPALACHIAN REGIONAL HEALTHCARE, INC
18880 N US HIGHWAY 119
CUMBERLAND, KY

APPALACHIAN REGIONAL HEALTHCARE, INC.
18880 N US HIGHWAY 119
CUMBERLAND, KY

BLUE RIDGE INTEGRATIVE WELLNESS LLC
512 DRYDEN LOOP
DRYDEN, VA

TRILLIUM MEDICAL GROUP OF VIRGINIA
HWY 58
DRYDEN, VA

BLUE RIDGE INTEGRATIVE WELLNESS LLC
512 DRYDEN LOOP
DRYDEN, VA

DRYDEN ANCILLARY SERVICES, LLC
512 DRYDEN LOOP
DRYDEN, VA

View all AHC Facilities