Healthcare Provider Details

I. General information

NPI: 1780688333
Provider Name (Legal Business Name): CALDWELL COUNTY HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEDICAL CENTER DR
PRINCETON KY
42445-2430
US

IV. Provider business mailing address

PO BOX 410
PRINCETON KY
42445-0410
US

V. Phone/Fax

Practice location:
  • Phone: 270-365-0300
  • Fax: 270-365-4152
Mailing address:
  • Phone: 270-365-0300
  • Fax: 270-365-4152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number600072
License Number StateKY

VIII. Authorized Official

Name: TERESA L. CARPENTER
Title or Position: DIRECTOR
Credential:
Phone: 270-365-0328