NPIMap

Clover Fork Outpatient Medical Project Inc

A Medicare group practice based in Harlan, KY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2062317027), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2062317027The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
KY
Enrollments
4
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040126000246 KY Part B Supplier - Clinic/Group Practice 1811939366
O20190717001479 KY Part B Supplier - Clinic/Group Practice 1497195036
O20180130001906 KY Part A Provider - Federally Qualified Health Center (FQHC) 1497195036
O20180122003211 KY Part A Provider - Federally Qualified Health Center (FQHC) 1811939366

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).

Sources for this page