Clover Fork Outpatient Medical Project Inc

LBN: Clover Fork Outpatient Medical Project Inc
Clover Fork Outpatient Medical Project Inc is an health care organization with primary practice located at 209 E Mound St , Harlan KY 40831-2321. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Clover Fork Outpatient Medical Project Inc can be contacted via phone (606) 573-1975, or through Lewis, Britt via phone (606) 837-2108.

Contact Information

Primary practice address
209 E Mound St Harlan KY 40831-2321
Phone: (606) 573-1975
Fax: (606) 837-9389
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Britt
Phone: (606) 837-2108

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Kentucky
Ambulatory Health Care Facilities / Rural Health 261QR1300X 900168 Kentucky

Profile Details

NPI number 1497195036
LBN Legal business name Clover Fork Outpatient Medical Project Inc
DBA Doing business as
Authorized official Lewis, Britt
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2013
Last updated Nov 20th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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