LIFE COORDINATED COMMONWEALTH PACE INC - NPI 1487476636

Q: What is Life Coordinated Commonwealth Pace Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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About Life Coordinated Commonwealth Pace Inc NPPES

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

LIFE COORDINATED COMMONWEALTH PACE INC (NPI 1487476636), doing business as Life Coordinated Senior Primary Care, is a healthcare organization registered as a primary care in Benton, Kentucky and active in the NPI registry since October 2024. The organization lists Nancy C Everitt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487476636

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameLIFE COORDINATED COMMONWEALTH PACE INC

Location Address201 E 11TH STBenton, KY 42025-1515

Mailing AddressPo Box 2403Brentwood, TN 37024-2403 · (615) 376-4677

Phone(855) 209-5451

Organization SubpartNo

Authorized OfficialNancy C EverittCeo · (615) 376-4677

Enumeration DateOctober 29, 2024

NPPES CertifiedOctober 29, 2024

✔ NPI 1487476636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

201 E 11TH ST, Benton, KY 42025

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Other Names 1

Doing Business AsLife Coordinated Senior Primary Care

Other Providers at the Same Location NPPES

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

LIFE COORDINATED COMMONWEALTH PACE INC

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

201 E 11TH ST
BENTON, KY 42025

Marshall County (866) 878-1121

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 Life Coordinated Commonwealth Pace Inc's NPI number?

The NPI number for Life Coordinated Commonwealth Pace Inc is 1487476636. It was assigned to this organization in the NPPES registry on October 29, 2024.

Where is Life Coordinated Commonwealth Pace Inc located?

Life Coordinated Commonwealth Pace Inc is located at 201 E 11th St, Benton, KY 42025. The listed phone number is (855) 209-5451.

What is Life Coordinated Commonwealth Pace Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Life Coordinated Commonwealth Pace Inc was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.