Organization
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER ARBUCKLE (CEO)
(270) 338-5777
Entity
Organization
Contact information
Practice address
480 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-5777
(270) 338-5756
Mailing address
480 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-5777
(270) 338-5756
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700060
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000060638
ANTHEM BLUE CROSS BLUE SH
KY
05
—
31000458
—
KY
Enumeration date
06/01/2005
Last updated
04/14/2015
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