| Communtiy Healthcare Of Western Kentucky Llc | |
|
308 South Washington Street Suite 200 Clinton KY 42031 | |
| (270) 653-0220 | |
| (270) 653-0221 |
| Full Name | Communtiy Healthcare Of Western Kentucky Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 308 South Washington Street Suite 200, Clinton, Kentucky |
| Authorized Official Name and Position | Stephannie Lorene Goodrum (OWNER) |
| Authorized Official Contact | 2706530220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Communtiy Healthcare Of Western Kentucky Llc 308 South Washington Street Suite 200 Clinton KY 42031-1347 Ph: (270) 653-0220 | Communtiy Healthcare Of Western Kentucky Llc 308 South Washington Street Suite 200 Clinton KY 42031 Ph: (270) 653-0220 |
| NPI Number | 1780102301 |
|---|---|
| Provider Enumeration Date | 09/04/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780102301 | NPI | - | NPPES |
| 7100237310 | Medicaid | KY | |
| 1760722144 | Other | KY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Jo-ann N. Bolli, M. D., P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Washington St, Suite 201, Clinton, KY 42031 Phone: 270-653-4070 Fax: 270-653-4007 | |
Clinton Hickman Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W Clay St, Clinton, KY 42031 Phone: 270-653-6277 Fax: 270-653-4097 | |
Clinton-hickman County Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Moss Dr, Clinton, KY 42031 Phone: 270-653-6277 | |
Jackson Purchase Primary Care - Clinton Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 W Clay St, Clinton, KY 42031 Phone: 270-653-0220 Fax: 270-653-0221 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 S Washington St Ste 200, Clinton, KY 42031 Phone: 270-913-2478 Fax: 270-913-2479 |