| Clover Fork Outpatient Medical Project Inc | |
|
209 E Mound St Harlan KY 40831-2321 | |
| (606) 573-1975 | |
| (606) 837-9389 |
| Full Name | Clover Fork Outpatient Medical Project Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 209 E Mound St, Harlan, Kentucky |
| Authorized Official Name and Position | Britt Lewis (ADMINISTRATOR) |
| Authorized Official Contact | 6068372108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clover Fork Outpatient Medical Project Inc 101 Chad St Box 39 Evarts KY 40828-8200 Ph: (606) 837-2108 | Clover Fork Outpatient Medical Project Inc 209 E Mound St Harlan KY 40831-2321 Ph: (606) 573-1975 |
| NPI Number | 1497195036 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 11/20/2018 |
| Medicare PECOS PAC ID | 2062317027 |
|---|---|
| Medicare Enrollment ID | O20180130001906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497195036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Kentucky) | Primary |
| 261QR1300X | Clinic/center - Rural Health | 900168 (Kentucky) | Secondary |
Dr. Abdulkader Dahhan Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Professional Ln Ste 101, Harlan, KY 40831 Phone: 606-573-1085 Fax: 606-573-9956 | |
Mountain Comprehensive Health Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 132 Village Center Rd, Harlan, KY 40831 Phone: 606-573-7771 Fax: 606-573-2809 | |
Arh Daniel Boone Clinic - Harlan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Ball Park Road, Harlan, KY 40831 Phone: 606-573-4520 Fax: 606-573-6392 | |
Arh Daniel Boone Clinic - Harlan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 37 Ball Park Road, Harlan, KY 40831 Phone: 606-573-4520 Fax: 606-573-6392 | |
Robert R. Atkins, Md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 E Central St, Harlan, KY 40831 Phone: 606-573-9440 | |
Harlan Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Railroad St Ste 5, Harlan, KY 40831 Phone: 606-573-8383 Fax: 606-573-8388 |