| NPI | 1245236900 |
|---|---|
| Doing Business As | CLOVERPORT HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | MANDY J BUTLER Nurse Practitioner 270-788-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 900053) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: KY 900053) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2017-03-29 |