FQHC look-alike · KY
Clover Fork Outpatient Medical Project, Inc.
- 0Registered locations
- 2Associated locations
- 1Contract pharmacies
- 1With no end date
- 1 January 2020In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “Clover Fork Outpatient Medical Project, Inc.” (340B ID FQHCLA362E), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHCLA362E
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 January 2020
- Certification date
- 2 February 2026
- Record last edited
- 2 February 2026
Identifiers
- 340B ID
- FQHCLA362E
- Entity type as filed
- FQHCLA
- Site ID
- BPS-LAL-027643
- Grant number
- LALCS31536
- NPI
- 1376565226 (KY), 1811939366 (KY)
4000 N US Highway 119, Baxter KY 40806
Associated locations
| Organization | Address | Where |
|---|---|---|
| Clover Fork Outpatient Medical Project, Inc. | 4000 N US Highway 119 | Baxter KY 40806 |
| Clover Fork Outpatient Medical Project INC. | 101 Chad Street, Box 39 | Evarts KY 40828 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| OPTUM PHARMACY 701, LLC | CHARLOTTE, NC | 1 October 2026 | no end date filed |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.