Organization
SOUTHFORK MEDICAL CLINIC PLLC
Active
Organization
SOUTHFORK MEDICAL CLINIC PLLC
Active
Other names
SOUTH FORK CLINIC PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA ANN CORRELL (CREDENTIALING)
(606) 376-7212
Entity
Organization
Contact information
Practice address
57 MEDICAL LANE, WHITLEY CITY, KY 42653
(606) 376-7211
(606) 376-9219
Mailing address
PO BOX 490, WHITLEY CITY, KY 42653-0490
(606) 376-7211
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
11/25/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up