Organization · Type 2 NPI
Community Health Centers of Western Kentucky Inc
Federally Qualified Health Center (FQHC) · Russellville, KY
NPI number
1497302723
Active
Practice location
1497 Nashville Road
Russellville, KY 42276
Fax (270) 726-1961
Mailing address
PO Box 257
Greenville, KY 42345-0257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1497302723
Community Health Centers of Western Kentucky Inc's National Provider Identifier is 1497302723, issued on Aug 21, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Russellville, KY. The record was last updated on Dec 17, 2019.