STILLWATER HEALTH NPI 1679283915

NPI Information

  • NPI: 1679283915
  • Provider Name: STILLWATER HEALTH
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 27D2328074
  • Address: 4570 PECAN DR STE C
    PADUCAH, KY
    ZIP 42001
  • Phone: (270) 519-6655

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NPI Details

STILLWATER HEALTH is a clinic center in Paducah, KY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). STILLWATER HEALTH NPI is 1679283915. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4570 PECAN DR STE C
PADUCAH, KY
ZIP 42001-717
Phone: (270) 519-6655

The provider's authorized official is Laura Bailey .
The authorized official title is Practice Administrator and has the following contact phone number (270) 442-3535.

The CLIA number assigned to this NPI record is 27D2328074 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2022 and was last updated on 10/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3363A00000XPhysician AssistantNo
4261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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