# PADUCAH HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paducah Centre
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871594747
- **Authorized official:** MR. TERRY LYNN SKAGGS (CFO)
- **Authorized official phone:** (270) 926-9355

## Contact information

- **Practice address:** 501 N 3RD ST, PADUCAH, KY 42001-0749
- **Practice address phone:** (270) 444-9661
- **Practice address fax:** (270) 443-9407
- **Mailing address:** 725 HARVARD DR, OWENSBORO, KY 42301-6185
- **Mailing address phone:** (270) 926-9355
- **Mailing address fax:** (270) 684-6283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100309 | KY | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12504627 | — | KY |
| 01 | — | 5419010001 | PART B SUPPLIER | KY |