NPIMap

Organization Active NPI

Community Health Centers of Western Kentucky Inc

  • Obstetrics & Gynecology Physician
  • Greenville, KY
National Provider Identifier
1376088930
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC
Practice address
226 Hopkinsville St
Greenville, KY 42345
Phone
(270) 377-3077
Fax
(270) 377-3002
NPI assigned
Jan 5, 2017
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph Allen Swab
Title
Cfo
Phone
(270) 338-5777

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

226 Hopkinsville St
Greenville, KY 42345

Mailing address

480 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050617000877 KY Part B Supplier - Clinic/Group Practice 5193769370 Receives reassigned benefits from 28 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, KY; Russellville, KY; Guthrie, KY
O20070703000720 KY Part A Provider - Federally Qualified Health Center (FQHC) 5193769370 1 other NPI on this enrollment
Practice locations: Greenville, KY

Federally qualified health center certification: CCN 181865

Legal name
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 2, 2007
Last certification
Aug 2, 2007
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
226 Hopkinsville St
Greenville, KY 42345-1214

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1064295Community Health Centers of Western Kentucky226 Hopkinsville St, Greenville, KY 42345Certificate of waiverFeb 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Community Health Center5 organizations share this tax ID, including this one
Part of
Community Health Center

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marsha D Crowder Individual OtherOffice Manager Jun 15, 2015
Cary Davis Individual Corporate DirectorBoard Member Mar 1, 2012
Cindy Baird Individual Corporate DirectorBoard Member Mar 1, 2012
Rosemary Buck Individual Corporate DirectorBoard Member Mar 1, 2012
Penelophie J Skipworth Individual OtherCredentialing/Billing Coordinato May 16, 2019
Billy Steele Individual Corporate DirectorBoard Member Mar 1, 2012
Richard Neathamer Individual Corporate DirectorBoard Member Mar 1, 2012
Jimmy Owens Individual Corporate DirectorBoard Member Oct 23, 2019
Amanda Henson Individual Corporate DirectorBoard Member Mar 27, 2019
Andrehia Hatfield Individual Corporate DirectorBoard Member Mar 1, 2012
Roger a Arbuckle Individual Corporate OfficerCeo Mar 1, 2012
W-2 Managing EmployeeCeo Mar 26, 2007
Lindsay B Durall Individual Corporate OfficerCfo Feb 1, 2021
Elizabeth Gentry Individual Corporate DirectorBoard Member Mar 1, 2012
Tamara C Harvey Individual W-2 Managing EmployeeBilling Mar May 27, 2025
Elizabeth Eaves Individual Corporate DirectorBoard Member Mar 1, 2012

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1376088930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "42345",
            "telephone_number": "270-338-5777",
            "fax_number": "270-338-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "42345",
            "telephone_number": "270-377-3077",
            "fax_number": "270-377-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "SWAB",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "270-338-5777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, KY

Sources for this page

Verify at the official NPI Registry.