RUSSELL FORK FAMILY CLINIC – NPI #1164851366
Clinic/Center

RUSSELL FORK FAMILY CLINIC is an AHC clinic located in ELKHORN CITY, KY. NPPES has assigned the NPI number 1164851366 to RUSSELL FORK FAMILY CLINIC on November 07, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RUSSELL FORK FAMILY CLINIC” is a dba name, the actual legal business name for this organization is ON SITE SCREENING, LLC. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RUSSELL FORK FAMILY CLINIC below.

NPI Profile for
ON SITE SCREENING, LLC

NPI Number
1164851366
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ON SITE SCREENING, LLC
Doing Business As (dba): RUSSELL FORK FAMILY CLINIC
Primary location
10363 REGINA BELCHER HWY
STE 101
ELKHORN CITY, KY 41522-8510
Phone: (606) 794-1812 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DELENA JOHNSON
MEMBER
Phone: (606) 794-1812
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 KY

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.