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 101 Chad St Clover Fork Clinic, Evarts KY 40828-8200. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Primary Care, 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) 837-2108, or through Lewis, Britt via phone (606) 837-2108.
Contact Information
Primary practice address
101 Chad St Clover Fork Clinic
Evarts KY 40828-8200
Phone: (606) 837-2108
Fax: (606) 837-9389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Kentucky | |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 700006 | Kentucky |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1811939366 |
|---|---|
| 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 11th, 2006 |
| Last updated | Nov 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811939366 | NPPES |
| Kentucky | MEDICAID | 31000045 | |
| Kentucky | MEDICAID | 7100323670 |
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