PENNYRILE RADIOLOGY PSC NPI 1649201096

NPI Information

NPI: 1649201096
Provider Name: PENNYRILE RADIOLOGY, PSC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
215 W 17TH ST
HOPKINSVILLE, KY
ZIP 42240
Phone: (270) 885-3414
Get Directions

PENNYRILE RADIOLOGY, PSC is a diagnostic radiology radiology in Hopkinsville, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PENNYRILE RADIOLOGY, PSC NPI is 1649201096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

215 W 17TH ST
HOPKINSVILLE, KY
ZIP 42240-911
Phone: (270) 885-3414
Fax: (270) 885-7631

The provider's authorized official is James M Clark .
The authorized official title is Owner/partner and has the following contact phone number (270) 885-3414.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/20/2008.

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
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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
1	2647	MEDICARE ID-TYPE UNSPECIFIED
2	=========	OTHER		EIN
3	65901829	MEDICAID	KENTUCKY
4	000000057622	OTHER	KENTUCKY	ANTHEM

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: 11/14/2023

NPI Synchronization or Removal

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