COMMUNTIY HEALTHCARE OF WESTERN KENTUCKY LLC
NPI 1780102301
Clinic/Center - Primary Care in Clinton, KY

Q: What is Communtiy Healthcare Of Western Kentucky LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since September 04, 2017

308 SOUTH WASHINGTON STREET SUITE 200, CLINTON, KY 42031(270) 653-0220(270) 653-0221 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Oct 20, 2017 (2 updates tracked since 2017).

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About Communtiy Healthcare Of Western Kentucky Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNTIY HEALTHCARE OF WESTERN KENTUCKY LLC (NPI 1780102301) is a healthcare organization registered as a primary care in Clinton, Kentucky and active in the NPI registry since September 2017. The organization lists Stephannie Lorene Goodrum, Owner, as its authorized official.

NPPES Registry Identity

NPI1780102301

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCOMMUNTIY HEALTHCARE OF WESTERN KENTUCKY LLC

Location Address308 SOUTH WASHINGTON STREET SUITE 200Clinton, KY 42031

Mailing Address308 South Washington Street Suite 200Clinton, KY 42031-1347 · (270) 653-0220 · Fax (270) 653-0221

Phone(270) 653-0220

Fax(270) 653-0221

Organization SubpartNo

Authorized OfficialStephannie Lorene GoodrumOwner · (270) 653-0220

Enumeration DateSeptember 4, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1780102301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

308 SOUTH WASHINGTON STREET SUITE 200, Clinton, KY 42031

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Other Identifiers 2

Other1760722144KY · Npi

Medicaid7100237310KY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Communtiy Healthcare Of Western Kentucky LLC's NPI number?

The NPI number for Communtiy Healthcare Of Western Kentucky LLC is 1780102301. It was assigned to this organization in the NPPES registry on September 4, 2017.

Where is Communtiy Healthcare Of Western Kentucky LLC located?

Communtiy Healthcare Of Western Kentucky LLC is located at 308 South Washington Street Suite 200, Clinton, KY 42031. The listed phone number is (270) 653-0220.

What is Communtiy Healthcare Of Western Kentucky LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Communtiy Healthcare Of Western Kentucky LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.