STILLWATER HEALTH
NPI 1679283915
Clinic/Center in Paducah, KY

Active since November 28, 2022CLIA Certified · 2 labs
4570 PECAN DR STE C, PADUCAH, KY 42001(270) 519-6655 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Mar 13, 2025, Feb 15, 2023 and 1 more (4 updates tracked since 2022).

About Stillwater Health NPPES

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

STILLWATER HEALTH (NPI 1679283915) is a healthcare organization registered as a clinic/center in Paducah, Kentucky and active in the NPI registry since November 2022. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Eureka, and lists Laura Bailey, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1679283915
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTILLWATER HEALTH
Location Address4570 PECAN DR STE CPaducah, KY 42001-6717
Mailing Address546 Us Highway 93 N Ste AEureka, MT 59917-9053 · (406) 610-0700 · Fax (406) 610-0701
Organization SubpartNo
Authorized OfficialLaura BaileyPractice Administrator · (270) 442-3535
Enumeration DateNovember 28, 2022
Last NPPES UpdateOctober 14, 20254 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
NPI 1679283915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
Also ListedPhysician AssistantTaxonomy 363A00000X
4570 PECAN DR STE C, Paducah, KY 42001

Secondary Practice Location 1

Location 1546 US Highway 93 N Ste AEureka, MT 59917-9053 · Phone (406) 610-0700 · Fax (406) 610-0701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2328074

Stillwater Health · Eureka, MT
Active · expires Aug 4, 2027
CLIA Number27D2328074
Laboratory TypePractitioner Other
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorMikal Bailey
Laboratory Phone(406) 610-0700
Laboratory LocationStillwater Health546 Us Hwy 93 North Suite A, Eureka, MT 59917
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2274743

Stillwater Health · Paducah, KY
Active · expires Jan 9, 2027
CLIA Number18D2274743
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorMr. Mikal Bailey
Laboratory Phone(270) 908-3839
Laboratory LocationStillwater Health4570 Pecan Drive, Suite C, Paducah, KY 42001
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Registered Nurse
4570 PECAN DR STE C
PADUCAH, KY 42001

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 Stillwater Health's NPI number?

The NPI number for Stillwater Health is 1679283915. It was assigned to this organization in the NPPES registry on November 28, 2022.

Where is Stillwater Health located?

Stillwater Health is located at 4570 Pecan Dr Ste C, Paducah, KY 42001. The listed phone number is (270) 519-6655.

What is Stillwater Health's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Stillwater Health hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Stillwater Health was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.