Organization
PENNYROYAL HEALTHCARE SERVICES, INC.
Active
Other names
Pennyroyal Healthcare Service Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KECIA FULCHER (CEO)
(270) 365-0227
Entity
Organization
Contact information
Practice address
244 THOMPSONVILLE LN, OAK GROVE, KY 42262-8250
(270) 365-2227
(270) 365-2559
Mailing address
310 HAWTHORNE ST, PRINCETON, KY 42445-1622
(270) 365-0227
(270) 365-2559
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/17/2015
Last updated
03/16/2018
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