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NPI Code Detail

MEDICARE: PINEVILLE COMMUNITY HEALTH CENTER INC

MEDICARE: PINEVILLE COMMUNITY HEALTH CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1275N00000XMedicare Defined Swing Bed Hospital Unit

General Provider Information

NPI Number : 1275192015
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINEVILLE COMMUNITY HEALTH CENTER INC
Provider Business Mailing Address
First Line : 850 RIVERVIEW AVE
Second Line :
City : PINEVILLE
State : KY
Zip : 40977-1452
Country : US
Telephone Number : 606-337-3051
Fax Number :
Provider Business Practice Location Address
First Line : 850 RIVERVIEW AVE
Second Line :
City : PINEVILLE
State : KY
Zip : 40977-1452
Country : US
Telephone Number : 606-337-3051
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : SHERYL RICHTER
Credential : CEO
Telephone Number : 606-337-3051
Provider Enumeration Date : 06/06/2019
Last Update Date : 05/19/2026

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Directions to “PINEVILLE COMMUNITY HEALTH CENTER INC ” Practice Location

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