SOUTHERN KENTUCKY PRIMARY CARE, P.S.C. – Rural Health Clinic/Center, NPI 1003327412
Rural Health Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SOUTHERN KENTUCKY PRIMARY CARE, P.S.C.
101, West 2nd Street, Illinois Township, Russellville, Pope County, Arkansas, 72801, United States
RUSSELLVILLE, KY 42276
Phone: (270) 881-1813
Fax: (270) 886-6600
Type: Location
Canton Street, Hopkinsville, Christian County, Kentucky, 42240, United States
HOPKINSVILLE, KY 422401991
Phone: (270) 881-1813
Fax: (270) 886-6008
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-04-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1015 days ago).
Enrollment records
2
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20171121002602 | O | Rural Health Clinic | KY | 2023-08-31 |
| O20180410002716 | O | Clinic/Group Practice | KY | 2024-02-29 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42276)
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