NPI 1780102301

Communtiy Healthcare of Western Kentucky LLC

Organisation Primary Care Clinic/Center Clinton, KY

Practice location

Address: 308 South Washington Street Suite 200, Clinton, KY 42031
Phone: (270) 653-0220
Fax: (270) 653-0221
Mailing address: 308 South Washington Street Suite 200, Clinton, KY 42031-1347

Authorised official

Name: Stephannie Lorene Goodrum
Title: Owner
Phone: (270) 653-0220

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Kentucky →

Registry record

NPI: 1780102301
Entity type: Organization
NPI issued: 4 Sep 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.