PHC-CLEVELAND LLC
NPI 1306142062
Psychiatric Unit in Louisville, KY

Active since January 28, 2011
680 S 4TH ST, LOUISVILLE, KY 40202(502) 596-6063(502) 212-8481 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Apr 15, 2022, Mar 12, 2021 and 3 more (6 updates tracked since 2017).

About Phc-cleveland Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHC-CLEVELAND LLC (NPI 1306142062), doing business as Bolivar Medical Center, is a healthcare organization registered as a psychiatric unit in Louisville, Kentucky and active in the NPI registry since January 2011. The organization lists Johnetta Traylor, Director, as its authorized official.

NPPES Registry Identity

NPI1306142062
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NamePHC-CLEVELAND LLC
Location Address680 S 4TH STLouisville, KY 40202-2407
Mailing Address680 S 4th StLouisville, KY 40202-2407 · Fax (502) 212-8481
Fax(502) 212-8481
Organization SubpartNo
Authorized OfficialJohnetta TraylorDirector · (502) 596-6063
Enumeration DateJanuary 28, 2011
Last NPPES UpdateJune 10, 20256 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1306142062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric UnitHospital Units
Taxonomy Code273R00000X
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
680 S 4TH ST, Louisville, KY 40202

Other Names 1

Doing Business AsBolivar Medical Center

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
680 S 4TH ST
LOUISVILLE, KY 40202
Occupational Therapist
680 S 4TH ST
LOUISVILLE, KY 40202
Speech-Language Pathologist
680 S 4TH ST
LOUISVILLE, KY 40202
Physical Therapist
680 S 4TH ST
LOUISVILLE, KY 40202
Occupational Therapist
680 S 4TH ST
LOUISVILLE, KY 40202
Physical Therapy Assistant
680 S 4TH ST
LOUISVILLE, KY 40202
Physical Therapist
680 S 4TH ST
LOUISVILLE, KY 40202
Occupational Therapist
680 S 4TH ST
LOUISVILLE, KY 40202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phc-Cleveland LLC's NPI number?

The NPI number for Phc-Cleveland LLC is 1306142062. It was assigned to this organization in the NPPES registry on January 28, 2011. The provider is doing business as Bolivar Medical Center.

Where is Phc-Cleveland LLC located?

Phc-Cleveland LLC is located at 680 S 4th St, Louisville, KY 40202. The listed phone number is (502) 596-6063.

What is Phc-Cleveland LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Unit with taxonomy code 273R00000X.

What insurance does Phc-Cleveland LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Phc-Cleveland LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phc-Cleveland LLC was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.