| Stillwater Health | |
|
4570 Pecan Dr Ste C Paducah KY 42001-6717 | |
| (270) 519-6655 | |
| Not Available |
| Full Name | Stillwater Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 4570 Pecan Dr Ste C, Paducah, Kentucky |
| Authorized Official Name and Position | Laura Bailey (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2704423535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Health 4570 Pecan Dr Ste C Paducah KY 42001-6717 Ph: (270) 908-3839 | Stillwater Health 4570 Pecan Dr Ste C Paducah KY 42001-6717 Ph: (270) 519-6655 |
| NPI Number | 1679283915 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 05/20/2025 |
| Certification Date | 05/20/2025 |
| Medicare PECOS PAC ID | 2062859002 |
|---|---|
| Medicare Enrollment ID | O20240326001624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679283915 | NPI | - | NPPES |
| Provider Name | Charles Tate Woodward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760606917 PECOS PAC ID: 5395839294 Enrollment ID: I20250108001638 |
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