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NPI Code Detail

MEDICARE: CALDWELL COUNTY HOSPITAL, INC

MEDICARE: CALDWELL COUNTY HOSPITAL, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital600072KY
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist
42083X0100XOccupational Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000054479OTHERKYBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000054480OTHERKYBLUE CROSS SWINGBED

General Provider Information

NPI Number : 1780688333
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALDWELL COUNTY HOSPITAL, INC
Provider Business Mailing Address
First Line : PO BOX 410
Second Line :
City : PRINCETON
State : KY
Zip : 42445-0410
Country : US
Telephone Number : 270-365-0300
Fax Number : 270-365-4152
Provider Business Practice Location Address
First Line : 100 MEDICAL CENTER DR
Second Line :
City : PRINCETON
State : KY
Zip : 42445-2430
Country : US
Telephone Number : 270-365-0300
Fax Number : 270-365-4152
Authorized Official
Title or Position : DIRECTOR
Name : TERESA L. CARPENTER
Credential :
Telephone Number : 270-365-0328
Provider Enumeration Date : 06/10/2005
Last Update Date : 05/12/2026

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Directions to “CALDWELL COUNTY HOSPITAL, INC ” Practice Location

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