Paducah Health Services, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100309 Issued in KY

Legal business name

PADUCAH HEALTH SERVICES, LLC

Doing business as

Paducah Centre

Practice address

501 N 3Rd St
Paducah, KY 42001-0749

Phone

(270) 444-9661

Fax

(270) 443-9407

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Terry Lynn Skaggs

Title

Cfo

Phone

(270) 926-9355

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Paducah Centre Doing business as

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871594747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HARVARD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016185",
            "telephone_number": "270-926-9355",
            "fax_number": "270-684-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 3RD ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420010749",
            "telephone_number": "270-444-9661",
            "fax_number": "270-443-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADUCAH HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "270-926-9355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B SUPPLIER",
            "identifier": "5419010001",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504627",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paducah Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paducah Dermatology PLLC
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• Paducah Gastroenterology Associates, PSC
• Paducah Gastroenterology Associates, PSC
• Paducah Health Facilities LP (McCracken Nursing and Rehabilitation Center)
• Paducah Hearing Center Inc (Beltone Hearing Aid Service)
• Paducah Hearing LLC
• Paducah Magnetic Resonance Imaging
• Paducah Middle School Clinic
• Paducah Neurosurgical Associates, PSC

• Skilled Nursing Facility in Paducah, KY
• Providers in Paducah, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.