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

Phc-Cleveland LLC

Organization Psychiatric Hospital Unit · NPI 1306142062

Phc-Cleveland LLC is a Psychiatric Hospital Unit in Louisville, Kentucky. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

680 S 4th St
Louisville, KY 40202-2407
Phone: (502) 596-6063
Fax: (502) 212-8481
Show map & directions

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

Specialties & licences

Psychiatric Hospital Unit (primary) Taxonomy 273R00000X

Record details

NPI number1306142062
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnetta Traylor — Director · (502) 596-6063
Other names Bolivar Medical Center; Bolivar Medical Center
NPI enumeratedJanuary 28, 2011
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address680 S 4th St, Louisville, KY 40202-2407

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