PENNYROYAL HEALTHCARE SERVICES, INC.
NPI 1124319942
Clinic/Center - Federally Qualified Health Center (FQHC) in Hopkinsville, KY

NPI Status: Active since April 27, 2011

Contact Information

1102 S VIRGINIA ST
HOPKINSVILLE, KY
ZIP 42240
Phone: (270) 365-0227
Fax: (270) 365-2559

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 18D2135941
  • CLIA Cert. Type: Other - SUBSTANCE ABUSE
  • CLIA Exp. Date: 08-29-2027

About PENNYROYAL HEALTHCARE SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Pennyroyal Healthcare Services, Inc., a primary care provider established in Hopkinsville, Kentucky operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1124319942 assigned on April 2011. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mrs. Kecia Fulcher (Ceo/director)

NPI
1124319942
Provider Name
PENNYROYAL HEALTHCARE SERVICES, INC.
Entity Type
Organization
Location Address
1102 S VIRGINIA ST HOPKINSVILLE, KY 42240
Location Phone
(270) 365-0227
Location Fax
(270) 365-2559
Mailing Address
310 HAWTHORNE ST PRINCETON, KY 42445
Mailing Phone
(270) 365-0227
Mailing Fax
(270) 365-2559
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2011
Last Update Date
03-16-2018
Code Navigator

A primary care provider (PCP) like Pennyroyal Healthcare Services, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. KECIA FULCHER

Authorized Official Title
CEO/DIRECTOR
Authorized Official Phone
(270) 886-2205

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7100200060MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2135941
Facility Type
Other - SUBSTANCE ABUSE
Certificate Effective Date
August 30, 2025
Certificate Expiration Date
August 29, 2027
Laboratory Director
MR. ERIC EMBRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pennyroyal Healthcare Services, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124319942, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 6 + 1 + 1 + 8 + 9 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1124319942.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Dermatology
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Physician Assistant
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Family Medicine
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Family Medicine
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Social Worker (Clinical)
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Clinical Nurse Specialist (Adult Health)
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Dentist (General Practice)
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Nurse Practitioner (Family)
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124319942, enumerated as an "organization" on April 27, 2011.

The provider is located at 1102 S VIRGINIA ST HOPKINSVILLE, KY 42240 and the phone number is (270) 365-0227.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.