OrganizationActive
Communtiy Healthcare of Western Kentucky LLC
NPI 1780102301 · Primary Care Clinic/Center · Clinton, KY
Provider details
- NPI number
- 1780102301
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Stephannie Goodrum, Owner
Practice location
308 South Washington Street Suite 200
Clinton, KY 42031
Phone: (270) 653-0220
Fax: (270) 653-0221
Mailing address
308 South Washington Street Suite 200
Clinton, KY 42031-1347
Registry dates
- Enumerated
- 2017-09-04
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.