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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