NPI Code Detail Logo

1750451357 NPI Number Info

healthcare provider npi status:  active since 11/09/2006

FOUR LEAF CLOVER, INC

Most Relevant Information

Provider Data
NPI Number 1750451357
Organization Name FOUR LEAF CLOVER, INC
Entity Type Organization

Most Important Dates
Provider Enumeration Date 11/09/2006
Last Updated 08/26/2010

Provider Practice Location

3280 HWY 69 SUITE II
HAYESVILLE
NC
28904-1007
US

Practice Location Phone/Fax
Phone 888-777-3203
Fax 828-389-9778

Provider Mailing Address

3280 HWY 69 SUITE II
HAYESVILLE
NC
28904-1007
US

Mailing Location Phone/Fax
Phone 888-777-3203
Fax 828-389-9779

Authorized Official
Title or Position OWNER/PRESIDENT
Authorized Official Name WILLIAM F. SWEENEY
Credentials N/S  
Telephone Number 888-777-3203
Is it your NPI number ?
Edit Delete Synchronize

Detailed Information

NPI Number 1750451357 has the "Organization" type of ownership and has been registered to the following primary business legal name (which is a provider name or healthcare organization name) — FOUR LEAF CLOVER, INC.

The enumeration date of this NPI Number is 11/09/2006.
NPI Number information was last time updated on 08/26/2010.

The provider is physically located at:

3280 HWY 69 SUITE II
HAYESVILLE, NC
28904-1007, US

FOUR LEAF CLOVER, INC can be reached at the following phone number(s):

Phone:  888-777-3203
Fax:  828-389-9778

The provider's official mailing address is:

3280 HWY 69 SUITE II
HAYESVILLE, NC
28904-1007, US

The contact numbers associated with the mailing address are:

Phone:  888-777-3203
Fax:  828-389-9779

The authorized official registered with the 1750451357 NPI Number is WILLIAM SWEENEY.

The authorized official title (position) is OWNER/PRESIDENT.

You can reach the authorized official at the following phone number 888-777-3203.

Scope of Practice (Taxonomy)

# Primary Taxonomy Code Taxonomy Specialty License Number License State
1 Y 332B00000X Durable Medical Equipment & Medical Supplies 1035023 NC
2 N 332B00000X Durable Medical Equipment & Medical Supplies 2004-16341 FL
3 N 332B00000X Durable Medical Equipment & Medical Supplies NC

Legacy (Non-NPI) Identifiers

(For crosswalk purposes, the following (non-NPI) identifiers are available for this provider)

# Provider Identifier Identifier Type Identifier State Issuer
1 000965346A MEDICAID GA
2 100454120 A MEDICAID KS
3 200003930 A MEDICAID OK
4 464074 MEDICAID AZ
5 001963766 MEDICAID PA
6 4582201 MEDICAID TN
7 4503699 MEDICAID MI
8 145573501 MEDICAID TX
9 146926741 MEDICAID AR
10 9000515800 MEDICAID KY
11 00440785 MEDICAID MS
12 600678485 OTHER NC NC STATE ID
13 65-509-5427-001 MEDICAID IL
14 003107887 MEDICAID CT
15 182741 MEDICAID OR
16 200408900 A MEDICAID IN
17 2254804 MEDICAID OH
18 7703099 MEDICAID NC
19 7777027 00 MEDICAID MD
20 R8517 OTHER BLUE CROSS BLUE SHIELD

Legacy & Proprietary Identifiers Ever Reported To NPPES

(Collection of legacy and proprietary (non-NPI) identifiers ever reported for this provider)

# Provider Identifier Identifier Type Identifier State Issuer
1 000965346A MEDICAID GA
2 001963766 MEDICAID PA
3 003107887 MEDICAID CT
4 00440785 MEDICAID MS
5 100454120 A MEDICAID KS
6 145573501 MEDICAID TX
7 146926741 MEDICAID AR
8 182741 MEDICAID OR
9 200003930 A MEDICAID OK
10 200408900 A MEDICAID IN
11 2254804 MEDICAID OH
12 4503699 MEDICAID MI
13 4582201 MEDICAID TN
14 464074 MEDICAID AZ
15 600678485 OTHER NC NC STATE ID
16 65-509-5427-001 MEDICAID IL
17 7703099 MEDICAID NC
18 7777027 00 MEDICAID MD
19 9000515800 MEDICAID KY
20 R8517 OTHER BLUE CROSS BLUE SHIELD

Reference NPI Information. Full Replica of the CMS (NPPES) NPI Record

Field Name Field Value
NPI 1750451357
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Organization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Organization Subpart N
The "Is the organization a subpart?" question must be answered. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. The legal entity must obtain an NPI. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI.
Provider Organization Name (Legal Business Name) FOUR LEAF CLOVER, INC
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address 3280 HWY 69
The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.
Provider Second Line Business Mailing Address SUITE II
The second line mailing address of the provider being identified. This data element may contain the same information as ''Provider second line location address''.
Provider Business Mailing Address City Name HAYESVILLE
The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.
Provider Business Mailing Address State Name NC
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.
Provider Business Mailing Address Postal Code 28904-1007
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.
Provider Business Mailing Address Country Code US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.
Provider Business Mailing Address Telephone Number 888-777-3203
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.
Provider Business Mailing Address Fax Number 828-389-9779
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider First Line Business Practice Location Address 3280 HWY 69
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address SUITE II
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name HAYESVILLE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name NC
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 28904-1007
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 888-777-3203
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number 828-389-9778
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 11/09/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 08/26/2010
The date that a record was last updated or changed.
Authorized Official Last Name SWEENEY
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name WILLIAM
The first name of the authorized official
Authorized Official Middle Name F.
The middle name of the authorized official
Authorized Official Title or Position OWNER/PRESIDENT
The title or position of the authorized official
Authorized Official Telephone Number 888-777-3203
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1 332B00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1 Durable Medical Equipment & Medical Supplies
Healthcare Provider Taxonomy #1
Provider License Number 1 2004-16341
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1 FL
Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch 1 N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 2 332B00000X
Healthcare Provider Taxonomy Code #2
Healthcare Provider Taxonomy 2 Durable Medical Equipment & Medical Supplies
Healthcare Provider Taxonomy #2
Provider License Number State Code 2 NC
Provider License Number State Code #2
Healthcare Provider Primary Taxonomy Switch 2 N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 3 332B00000X
Healthcare Provider Taxonomy Code #3
Healthcare Provider Taxonomy 3 Durable Medical Equipment & Medical Supplies
Healthcare Provider Taxonomy #3
Provider License Number 3 1035023
Provider License Number #3
Provider License Number State Code 3 NC
Provider License Number State Code #3
Healthcare Provider Primary Taxonomy Switch 3 Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 1 000965346A
Other Provider Identifier #1
Other Provider Identifier Type 1 MEDICAID
Other Provider Identifier Type #1
Other Provider Identifier State 1 GA
Other Provider Identifier State #1
Other Provider Identifier 2 100454120 A
Other Provider Identifier #2
Other Provider Identifier Type 2 MEDICAID
Other Provider Identifier Type #2
Other Provider Identifier State 2 KS
Other Provider Identifier State #2
Other Provider Identifier 3 200003930 A
Other Provider Identifier #3
Other Provider Identifier Type 3 MEDICAID
Other Provider Identifier Type #3
Other Provider Identifier State 3 OK
Other Provider Identifier State #3
Other Provider Identifier 4 464074
Other Provider Identifier #4
Other Provider Identifier Type 4 MEDICAID
Other Provider Identifier Type #4
Other Provider Identifier State 4 AZ
Other Provider Identifier State #4
Other Provider Identifier 5 001963766
Other Provider Identifier #5
Other Provider Identifier Type 5 MEDICAID
Other Provider Identifier Type #5
Other Provider Identifier State 5 PA
Other Provider Identifier State #5
Other Provider Identifier 6 4582201
Other Provider Identifier #6
Other Provider Identifier Type 6 MEDICAID
Other Provider Identifier Type #6
Other Provider Identifier State 6 TN
Other Provider Identifier State #6
Other Provider Identifier 7 4503699
Other Provider Identifier #7
Other Provider Identifier Type 7 MEDICAID
Other Provider Identifier Type #7
Other Provider Identifier State 7 MI
Other Provider Identifier State #7
Other Provider Identifier 8 145573501
Other Provider Identifier #8
Other Provider Identifier Type 8 MEDICAID
Other Provider Identifier Type #8
Other Provider Identifier State 8 TX
Other Provider Identifier State #8
Other Provider Identifier 9 146926741
Other Provider Identifier #9
Other Provider Identifier Type 9 MEDICAID
Other Provider Identifier Type #9
Other Provider Identifier State 9 AR
Other Provider Identifier State #9
Other Provider Identifier 10 9000515800
Other Provider Identifier #10
Other Provider Identifier Type 10 MEDICAID
Other Provider Identifier Type #10
Other Provider Identifier State 10 KY
Other Provider Identifier State #10
Other Provider Identifier 11 00440785
Other Provider Identifier #11
Other Provider Identifier Type 11 MEDICAID
Other Provider Identifier Type #11
Other Provider Identifier State 11 MS
Other Provider Identifier State #11
Other Provider Identifier 12 600678485
Other Provider Identifier #12
Other Provider Identifier Type 12 OTHER
Other Provider Identifier Type #12
Other Provider Identifier State 12 NC
Other Provider Identifier State #12
Other Provider Identifier Issuer 12 NC STATE ID
Other Provider Identifier Issuer #12
Other Provider Identifier 13 65-509-5427-001
Other Provider Identifier #13
Other Provider Identifier Type 13 MEDICAID
Other Provider Identifier Type #13
Other Provider Identifier State 13 IL
Other Provider Identifier State #13
Other Provider Identifier 14 003107887
Other Provider Identifier #14
Other Provider Identifier Type 14 MEDICAID
Other Provider Identifier Type #14
Other Provider Identifier State 14 CT
Other Provider Identifier State #14
Other Provider Identifier 15 182741
Other Provider Identifier #15
Other Provider Identifier Type 15 MEDICAID
Other Provider Identifier Type #15
Other Provider Identifier State 15 OR
Other Provider Identifier State #15
Other Provider Identifier 16 200408900 A
Other Provider Identifier #16
Other Provider Identifier Type 16 MEDICAID
Other Provider Identifier Type #16
Other Provider Identifier State 16 IN
Other Provider Identifier State #16
Other Provider Identifier 17 2254804
Other Provider Identifier #17
Other Provider Identifier Type 17 MEDICAID
Other Provider Identifier Type #17
Other Provider Identifier State 17 OH
Other Provider Identifier State #17
Other Provider Identifier 18 7703099
Other Provider Identifier #18
Other Provider Identifier Type 18 MEDICAID
Other Provider Identifier Type #18
Other Provider Identifier State 18 NC
Other Provider Identifier State #18
Other Provider Identifier 19 7777027 00
Other Provider Identifier #19
Other Provider Identifier Type 19 MEDICAID
Other Provider Identifier Type #19
Other Provider Identifier State 19 MD
Other Provider Identifier State #19
Other Provider Identifier 20 R8517
Other Provider Identifier #20
Other Provider Identifier Type 20 OTHER
Other Provider Identifier Type #20
Other Provider Identifier Issuer 20 BLUE CROSS BLUE SHIELD
Other Provider Identifier Issuer #20

Copyright © 2007-2025 Data Labs Health. All rights reserved.