Clover Fork Outpatient Medical Project Inc in Evarts - Federally Qualified Health Center (fqhc)
Clover Fork Outpatient Medical Project Inc - NPI 1811939366
Clover Fork Outpatient Medical Project Inc is a Federally Qualified Health Center (fqhc) in Evarts, Kentucky. Clover Fork Outpatient Medical Project Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Clover Fork Outpatient Medical Project Inc is 1811939366. The last update date is 2018-11-19.
Clover Fork Outpatient Medical Project Inc's current location address is 101 Chad St, Evarts, Kentucky. You can contact this provider via phone number 6068372108 and fax number 6068379389. The mailing address for Clover Fork Outpatient Medical Project Inc is 101 Chad St, Evarts, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clover Fork Outpatient Medical Project Inc |
|---|---|
| Address | 101 Chad St, Evarts, Kentucky |
| Phone Number | 6068372108 |
| Fax Number | 6068379389 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Lewis Britt |
| Telephone Number | 6068372108 |
NPI Number Detail
| NPI Number | 1811939366 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2018-11-19 |
Provider Mailing Address Detail
| Address | 101 Chad St |
|---|---|
| City | Evarts |
| State | Kentucky (KY) |
| Post Code | 408288200 |
| Phone Number | 6068372108 |
| Fax Number | 6068379389 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31000045 | KY | -- | |
| 7100323670 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clover Fork Outpatient Medical Project Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Clover Fork Outpatient Medical Project Inc has been assigned the NPI (National Provider Identifier) 1811939366. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Clover Fork Outpatient Medical Project Inc is geographically located?
The Clover Fork Outpatient Medical Project Inc is physically situated at the following location: 101 Chad St, Evarts, KY, 408288200.
What is Clover Fork Outpatient Medical Project Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clover Fork Outpatient Medical Project Inc is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
When was the Clover Fork Outpatient Medical Project Inc's 1811939366 issued?
The Clover Fork Outpatient Medical Project Inc's 1811939366 was issued on 2006-06-11.
As of what date was the information pertaining to Clover Fork Outpatient Medical Project Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Clover Fork Outpatient Medical Project Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-11-19.