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Organization

PENNYROYAL HEALTHCARE SERVICES, INC

Active
Other names
Community Dental
Organization subpart
No

Provider details

NPI number
Authorized official
STARLA CUMMINGS (CFO)
(270) 365-0227
Entity
Organization

Contact information

Practice address
1102 S VIRGINIA ST STE B, HOPKINSVILLE, KY 42240-3579
(270) 632-3088
Mailing address
PO BOX 151, PRINCETON, KY 42445-0151
(270) 365-0227

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
01/31/2023
Last updated
01/31/2023
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