COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC NPI 1497302723

NPI Information

  • NPI: 1497302723
  • Provider Name: COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • CLIA Number: 18D1064295
  • Address: 1497 NASHVILLE ROAD
    RUSSELLVILLE, KY
    ZIP 42276
  • Phone: (270) 726-1266

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NPI Details

COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC is a federally qualified health center (fqhc) clinic center in Russellville, KY. COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC NPI is 1497302723. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1497 NASHVILLE ROAD
RUSSELLVILLE, KY
ZIP 42276
Phone: (270) 726-1266
Fax: (270) 726-1961

The provider's authorized official is Joseph Allen Swab .
The authorized official title is Cfo and has the following contact phone number (270) 338-5777.

The CLIA number assigned to this NPI record is 18D1064295 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 12/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
131000458MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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