COMMUNTIY HEALTHCARE OF WESTERN KENTUCKY LLC


Address: 308 South Washington Street Suite 200, Clinton, KY 42031
Phone: (270) 653-0220

COMMUNTIY HEALTHCARE OF WESTERN KENTUCKY LLC (NPI# 1780102301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780102301
Entity Type Organization
Organization Name COMMUNTIY HEALTHCARE OF WESTERN KENTUCKY LLC
Practice Address 308 South Washington Street Suite 200
Clinton
KY 42031
Mailing Address 308 South Washington Street Suite 200
Clinton
KY 42031-1347
Practice Telephone (270) 653-0220
Practice Fax Number 2706530221
Mailing Telephone 2706530220
Mailing Fax Number 2706530221
Enumeration Date 2017-09-04
Last Update Date 2017-10-20
Authorized Official Name MRS. STEPHANNIE LORENE GOODRUM (OWNER)
Authorized Official Telephone 2706530220
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY NPI 1760722144 01
KY 7100237310 05

Office Location

Street Address 308 SOUTH WASHINGTON STREET SUITE 200
City CLINTON
State KY
Zip Code 42031

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053569442 Hickman County High School Clinic Public Health or Welfare 301 East Cresap Street, Clinton, KY 42031 2008-08-28
1437186657 Purchase District Health Dept Public Health or Welfare 370 S Washington Street, Clinton, KY 42031 2006-06-26
1104800101 Arbor Place of Clinton Skilled Nursing Facility 106 Padgett Drive, Clinton, KY 42031 2005-12-02
1902954118 Clinton-hickman County Ambulance Service Inc Ambulance 324 James H Phillips Dr, Clinton, KY 42031-0083 2007-01-07
1568902427 Clinton Pharmacy LLC Pharmacy 119 E Clay St, Clinton, KY 42031-1222 2017-02-26
1932131356 Byassee Drug Company Inc Durable Medical Equipment & Medical Supplies 107 E Clay St, Clinton, KY 42031-1222 2006-07-07
1174087647 Clinton Pharmacy LLC Pharmacy 119 E Clay St, Clinton, KY 42031-1222 2019-01-29
1205048873 John Garland Byassee Pharmacist 107 E Clay St, Clinton, KY 42031-1222 2007-05-04
1275617755 Perkins Pharmacy Durable Medical Equipment & Medical Supplies 119 E Clay St, Clinton, KY 42031-1222 2006-10-24
1982747804 Purchase District Health Dept Public Health or Welfare 416 Mcmorris St, Clinton, KY 42031-1244 2007-02-14
Find all providers in zip 42031

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396390498 Team Clinic Management Partners LLC Clinic/Center 1903 Opal Ave, Clinton, OK 73601-5139 2019-08-06
1982257812 Team Clinic Management Partners LLC Clinic/Center 1001 Orient Ave, Clinton, OK 73601-2751 2019-07-19
1023414828 Still I Rise, Inc Clinic/Center 9023 Woodyard Rd, Clinton, MD 20735-4208 2014-11-06
1417146952 Clinton Family Practice, Inc. Clinic/Center 201 Jacobs Hwy, Clinton, SC 29325-7278 2007-10-22
1013108240 Family Practice Center Clinic/Center 194 Shakerag Road, Clinton, AR 72031 2007-08-05
1184674392 Westview Health Clinic, Plc Clinic/Center 3140 Hayes Ave, Clinton, OK 73601-3601 2006-05-10
1841845948 Team Clinic Management Partners LLC Clinic/Center 300 S 11th St, Clinton, OK 73601-3933 2019-08-06
1891348736 Team Clinic Management Partners LLC Clinic/Center 2130 W Gary Blvd, Clinton, OK 73601-5304 2019-07-19
1407409642 Team Clinic Management Partners Clinic/Center 601 N 13th St, Clinton, OK 73601-1831 2019-07-17
1295285906 White County Medical Center Clinic/Center 175 Volunteer Pkwy, Clinton, AR 72031-8001 2016-10-05
Find all providers in CLINTON

Competitor

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City CLINTON
Zip Code 42031

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Dataset Information

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.

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