Healthcare Provider Details

I. General information

NPI: 1639738479
Provider Name (Legal Business Name): PINEVILLE COMMUNITY HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 RIVERVIEW AVE
PINEVILLE KY
40977-1452
US

IV. Provider business mailing address

850 RIVERVIEW AVE
PINEVILLE KY
40977-1452
US

V. Phone/Fax

Practice location:
  • Phone: 606-337-3051
  • Fax:
Mailing address:
  • Phone: 606-337-3051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SHERYL RICHTER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 606-337-3051