Organization · Type 2 NPI

Pinelake Physician Practice LLC

Rural Health Clinic/Center · Clinton, KY

NPI number 1437614633 Active

Practice location

106 W Clay St
Clinton, KY 42031-1317

Call (270) 653-0220 Map

Fax (270) 653-0221

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Hospital of Fulton IncRural Health Clinic/Center Clinton, KY NPI 1396713079

Other rural health clinic/center providers in Clinton

Hospital of Fulton IncRural Health Clinic/Center Clinton, KY NPI 1396713079

See all in Clinton →

NPI record

NPI: 1437614633
Entity type: Organization (Type 2)
Issued: Feb 1, 2019
Last updated: Sep 18, 2026
Status: Active

Other names

<unavail>
Jackson Purchase Primary Care - Clinton Clinic · doing business as
Jackson Purchase Primary Care - Clinton Clinic · doing business as

Authorized official

Charlotte Lawrence
Secretary
(615) 920-7688

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437614633

Pinelake Physician Practice LLC's National Provider Identifier is 1437614633, issued on Feb 1, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Clinton, KY. The record was last updated on Sep 18, 2026.