| Pennyroyal Healthcare Services, Inc | |
|
310 Hawthorne St Princeton KY 42445-1622 | |
| (270) 886-2205 | |
| (270) 886-0392 |
| Full Name | Pennyroyal Healthcare Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 Hawthorne St, Princeton, Kentucky |
| Authorized Official Name and Position | Kecia Fulcher (CEO/DIRECTOR) |
| Authorized Official Contact | 2708862205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennyroyal Healthcare Services, Inc 310 Hawthorne St Princeton KY 42445-1622 Ph: (270) 365-0227 | Pennyroyal Healthcare Services, Inc 310 Hawthorne St Princeton KY 42445-1622 Ph: (270) 886-2205 |
| NPI Number | 1740672617 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 03/16/2018 |
| Medicare PECOS PAC ID | 6002076700 |
|---|---|
| Medicare Enrollment ID | O20140326000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740672617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Health First Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 S Jefferson St, Princeton, KY 42445 Phone: 270-365-9455 | |
Cash Family Practice, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Micbeth Drive, Princeton, KY 42445 Phone: 270-365-1225 Fax: 270-365-1252 | |
Fast Pace Kentucky, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 W Main St, Princeton, KY 42445 Phone: 615-988-1571 | |
Stafford Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 S Jefferson St, Unit C, Princeton, KY 42445 Phone: 270-744-9600 Fax: 270-744-0834 | |
Baptist Health Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 S Jefferson St, Princeton, KY 42445 Phone: 270-365-2037 | |
Princeton Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 S Jefferson St, Princeton, KY 42445 Phone: 270-365-5502 Fax: 270-365-4467 | |
C. Michael Littlejohn, Md, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 S Jefferson St, Princeton, KY 42445 Phone: 270-365-3343 Fax: 270-365-4467 |