Organization
ONE CROSS COMMUNITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ROSE MCKENNA (CEO)
(270) 403-1106
Entity
Organization
Contact information
Practice address
429 W WALNUT ST, LEBANON, KY 40033-1346
(270) 789-0034
(270) 789-0097
Mailing address
102 WINSTON WAY STE 5, CAMPBELLSVILLE, KY 42718-4991
(270) 789-0034
(270) 789-0097
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100967340
—
KY
Enumeration date
10/30/2018
Last updated
04/30/2025
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