Southfork Medical Clinic PLLC
Doing business as South Fork Clinic
Rural health clinic in Whitley City, KY, Medicare certification number B03962.
Medicare certification
Provider of Services- CCN
- B03962
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1A
- Participating since
- Sep 30, 2024
- Last certification
- Feb 18, 2026
- Address
- 57 Medical Lane
Whitley City, KY 42653
(606) 376-7215
NPI records for this facility (CCN to NPI Mapping) 1
-
dba South Fork Clinic PLLC
- Rural Health Clinic/Center
- Whitley City, KY
- NPI 1205616265
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.