CLOVER FORK OUTPATIENT MEDICAL PROJECT INC
NPI 1811939366
Clinic/Center - Federally Qualified Health Center (FQHC) in Evarts, KY

Active since June 11, 2006
101 CHAD ST, CLOVER FORK CLINIC, EVARTS, KY 40828(606) 837-2108(606) 837-9389 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2018, Mar 29, 2018 (2 updates tracked since 2018).

About Clover Fork Outpatient Medical Project Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLOVER FORK OUTPATIENT MEDICAL PROJECT INC (NPI 1811939366) is a healthcare organization registered as a federally qualified health center (fqhc) in Evarts, Kentucky and active in the NPI registry since June 2006. The organization lists Britt Lewis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811939366
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCLOVER FORK OUTPATIENT MEDICAL PROJECT INC
Location Address101 CHAD ST, CLOVER FORK CLINICEvarts, KY 40828-8200
Mailing Address101 Chad St, Po Box39Evarts, KY 40828-8200 · (606) 837-2108 · Fax (606) 837-9389
Fax(606) 837-9389
Organization SubpartNo
Authorized OfficialBritt LewisAdministrator · (606) 837-2108
Enumeration DateJune 11, 2006
Last NPPES UpdateNovember 19, 20182 updates tracked since enumeration
✔ NPI 1811939366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 700006 (KY)
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
101 CHAD ST, Evarts, KY 40828

Other Identifiers 2

Medicaid7100323670KY
Medicaid31000045KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clover Fork Outpatient Medical Project Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Clover Fork Outpatient Medical Project Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1639776990
101 CHAD ST
Evarts, KY 40828
(606) 837-2108
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1245264852
101 CHAD ST CLOVERFORK CLINIC
Evarts, KY 40828
(606) 837-2108
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609308618
209 E MOUND ST
Harlan, KY 40831
(606) 573-1975
✔ PECOS✔ Accepts Medicare7.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clover Fork Outpatient Medical Project Inc's NPI number?

The NPI number for Clover Fork Outpatient Medical Project Inc is 1811939366. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Clover Fork Outpatient Medical Project Inc located?

Clover Fork Outpatient Medical Project Inc is located at 101 Chad St Clover Fork Clinic, Evarts, KY 40828. The listed phone number is (606) 837-2108.

What is Clover Fork Outpatient Medical Project Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Clover Fork Outpatient Medical Project Inc enrolled in Medicare?

Yes. Clover Fork Outpatient Medical Project Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clover Fork Outpatient Medical Project Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Clover Fork Outpatient Medical Project Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Clover Fork Outpatient Medical Project Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and UnitedHealthcare list Clover Fork Outpatient Medical Project Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clover Fork Outpatient Medical Project Inc was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.