COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC (NPI# 1649824426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649824426 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC |
Practice Address |
504 Hopkinsville St Greenville KY 42345-1104 |
Mailing Address |
480 Hopkinsville St Greenville KY 42345-1124 |
Practice Telephone | 2703386488 |
Practice Fax Number | 2703387868 |
Mailing Telephone | 2703385777 |
Mailing Fax Number | 2703383283 |
Enumeration Date | 2019-07-30 |
Last Update Date | 2019-12-17 |
Authorized Official Name | JOSEPH ALLEN SWAB (CFO) |
Authorized Official Telephone | 2703385777 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
1700321353 | Community Health Centers of Western Kentucky Inc | Pediatrics | 10220 Dixie Beeline Hwy, Guthrie, KY 42234-9310 | 2017-01-05 |
1376088930 | Community Health Centers of Western Kentucky Inc | Social Worker | 226 Hopkinsville St, Greenville, KY 42345 | 2017-01-05 |
Street Address |
504 HOPKINSVILLE ST |
City | GREENVILLE |
State | KY |
Zip Code | 42345-1104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205883949 | Katharine S Cox | Emergency Medicine | 504 Hopkinsville St, Greenville, KY 42345 | 2006-05-28 |
1518207810 | Nancy Elaine Floyd | Social Worker | 504 Hopkinsville St, Greenville, KY 42345-1104 | 2013-02-22 |
1225307184 | De' Andra Destheenia Davis | Pediatrics | 504 Hopkinsville St, Greenville, KY 42345-1104 | 2011-12-22 |
1477726354 | Eliza Joyce Whitten-hoskins | Pediatrics | 504 Hopkinsville St, Greenville, KY 42345 | 2008-04-10 |
1053500900 | Randa Nell Brumfield | Registered Nurse | 504 Hopkinsville St, Greenville, KY 42345-1104 | 2007-10-16 |
1972699502 | Billie Jean Galyen | Pediatrics | 504 Hopkinsville St, Greenville, KY 42345-1104 | 2006-10-04 |
1326077835 | Susan C Hawkins | Pediatrics | 504 Hopkinsville St, Greenville, KY 42345-1104 | 2006-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669607917 | Felicia Wells | Speech-Language Pathologist | 515 Greene Drive, Greenville, KY 42345 | 2009-05-15 |
1992968085 | Roberta A Shelton | Occupational Therapist | 515 Green Drive, Greenville, KY 42345 | 2008-07-08 |
1659547503 | Kellyn Jones | Counselor | 506 W. Hopkinsville St, Greenville, KY 42345 | 2008-05-01 |
1922134956 | Guinn Shaw Cost Jr. | Family Medicine | 132 Sara's Lane, Greenville, KY 42345 | 2007-02-26 |
1265922447 | George Michael Garrett | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345 | 2018-05-14 |
1376088930 | Community Health Centers of Western Kentucky Inc | Social Worker | 226 Hopkinsville St, Greenville, KY 42345 | 2017-01-05 |
1982009585 | Kentucky Emergency I Services Psc | Physician Assistant | 440 Hopkinsville St, Greenville, KY 42345 | 2014-10-27 |
1538447016 | Christina N Buckley | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345 | 2011-08-01 |
1245542331 | James Derek Calhoun | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345 | 2010-07-06 |
1609978899 | Slobodan B Jugo | Otolaryngology | 300 Medical Plaza, Greenville, KY 42345 | 2006-09-01 |
Find all providers in zip 42345 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821475575 | Community Health Service Agency, Inc | Clinic/Center | 3005 Joe Ramsey Blvd E Ste A, Greenville, TX 75401-7776 | 2015-05-01 |
1124262431 | Greene County Health Care, Inc | Clinic/Center | 261 Belvoir Highway, Greenville, NC 27834-8193 | 2009-04-30 |
1508057076 | Delta Health Center, Inc. | Clinic/Center | 1414 Hospital St, Greenville, MS 38703-3217 | 2007-08-08 |
1942491428 | Women & Pediatric Clinic | Clinic/Center | 1217 E Railroad Ave, Greenville, MS 38703-3256 | 2007-08-08 |
1205949757 | New Horizon Family Health Services, Inc. | Clinic/Center | 130 Mallard St, Greenville, SC 29601-4046 | 2006-08-17 |
1306848650 | Community Health Centers of Western Kentucky, Inc. | Clinic/Center | 480 Hopkinsville St, Greenville, KY 42345-1124 | 2005-06-01 |
1376183855 | New Horizon Family Health Services, Inc. | Clinic/Center | 1133 Pendleton St, Greenville, SC 29601-2317 | 2020-01-13 |
1912543836 | New Horizon Family Health Services, Inc. | Clinic/Center | 130 Mallard St, Greenville, SC 29601-4046 | 2019-11-26 |
1013361583 | Family Health Services of Darke County, Inc. | Clinic/Center | 1101 Jackson St, Greenville, OH 45331-1183 | 2016-04-20 |
1306205810 | Family Health Services of Darke County, Inc. | Clinic/Center | 5735 Meeker Rd, Greenville, OH 45331-1180 | 2016-02-12 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 42345 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.