Organization · Type 2 NPI
Clover Fork Outpatient Medical Project Inc
Federally Qualified Health Center (FQHC) · Harlan, KY
NPI number
1497195036
Active
Practice location
209 E Mound St
Harlan, KY 40831-2321
Fax (606) 837-9389
Mailing address
101 Chad St, Box 39
Evarts, KY 40828-8200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Rural Health Clinic/Center | 261QR1300X | 900168 (KY) |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
About NPI 1497195036
Clover Fork Outpatient Medical Project Inc's National Provider Identifier is 1497195036, issued on Jun 27, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Harlan, KY. The record was last updated on Nov 20, 2018.