Organization
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ALLEN SWAB (CFO)
(270) 338-5777
Entity
Organization
Contact information
Practice address
504 HOPKINSVILLE ST, GREENVILLE, KY 42345-1104
(270) 338-6488
(270) 338-7868
Mailing address
480 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-5777
(270) 338-3283
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
12/17/2019
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