| Livwell Community Health Services, Inc. | |
|
1903 Broadway St Paducah KY 42001-7105 | |
| (270) 444-8183 | |
| (247) 044-8147 |
| Full Name | Livwell Community Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1903 Broadway St, Paducah, Kentucky |
| Authorized Official Name and Position | Andrea Leonard (INTERIM EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2704448183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livwell Community Health Services, Inc. 1903 Broadway St Paducah KY 42001-7105 Ph: (270) 444-8183 | Livwell Community Health Services, Inc. 1903 Broadway St Paducah KY 42001-7105 Ph: (270) 444-8183 |
| NPI Number | 1396749917 |
|---|---|
| Provider Enumeration Date | 06/10/2005 |
| Last Update Date | 03/02/2026 |
| Certification Date | 03/02/2026 |
| Medicare PECOS PAC ID | 0244206712 |
|---|---|
| Medicare Enrollment ID | O20040907000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396749917 | NPI | - | NPPES |
| 65930786 | Medicaid | KY | |
| 7100710340 | Medicaid | KY |
| Provider Name | Carl B Lebuhn |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700880309 PECOS PAC ID: 2365570967 Enrollment ID: I20100430000604 |
| Provider Name | Anita J Fleenor-ford |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740284348 PECOS PAC ID: 8123097326 Enrollment ID: I20101022000009 |
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