Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Coordinated Commonwealth Pace Inc

Organization Primary Care Clinic/Center · NPI 1487476636

Life Coordinated Commonwealth Pace Inc is a Primary Care Clinic/Center in Benton, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 E 11th St
Benton, KY 42025-1515
Phone: (855) 209-5451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1487476636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Everitt — Ceo · (615) 376-4677
Other names Life Coordinated Senior Primary Care
NPI enumeratedOctober 29, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing addressPo Box 2403, Brentwood, TN 37024-2403