Pennyroyal Healthcare Services, Inc.

NPI #1720454507 in Oak Grove, Kentucky

Provider Information

NPI Number
1720454507
Entity Type
Organization
Organization Name
Pennyroyal Healthcare Services, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 17, 2015
Last Updated
Mar 16, 2018

Practice Location

Address
244 THOMPSONVILLE LN
ZIP Code
42262-8250
Phone
(270) 365-2227

Authorized Official

Name
KECIA FULCHER
Title
CEO
Phone
(270) 365-0227

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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