Organization · Type 2 NPI

Pennyroyal Healthcare Services, Inc.

Federally Qualified Health Center (FQHC) · Oak Grove, KY

NPI number 1720454507 Active

Practice location

244 Thompsonville Ln
Oak Grove, KY 42262-8250

Fax (270) 365-2559

Mailing address

310 Hawthorne St
Princeton, KY 42445-1622

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

About NPI 1720454507

Pennyroyal Healthcare Services, Inc.'s National Provider Identifier is 1720454507, issued on Aug 17, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Oak Grove, KY. The record was last updated on Mar 16, 2018.