Life Coordinated Commonwealth Pace Inc | |
201 E 11th St Benton KY 42025-1515 | |
(855) 209-5451 | |
Not Available |
Full Name | Life Coordinated Commonwealth Pace Inc |
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Speciality | Clinic/center - Primary Care |
Location | 201 E 11th St, Benton, Kentucky |
Authorized Official Name and Position | Nancy C Everitt (CEO) |
Authorized Official Contact | 6153764677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Coordinated Commonwealth Pace Inc Po Box 2403 Brentwood TN 37024-2403 Ph: (615) 376-4677 | Life Coordinated Commonwealth Pace Inc 201 E 11th St Benton KY 42025-1515 Ph: (855) 209-5451 |
NPI Number | 1487476636 |
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Provider Enumeration Date | 10/29/2024 |
Last Update Date | 10/29/2024 |
Identifier | Type | State | Issuer |
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1487476636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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