1285878215 NPI number — CALDWELL COUNTY HOSPITAL

Table of content: (NPI 1285878215)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285878215 NPI number — CALDWELL COUNTY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CALDWELL COUNTY HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285878215
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/21/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 HOSPITAL DR
Provider Second Line Business Mailing Address:
PO BOX 410
Provider Business Mailing Address City Name:
PRINCETON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42445-2301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-365-0300
Provider Business Mailing Address Fax Number:
270-365-0413

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
403 FAIRVIEW AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EDDYVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42038-8237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-388-5454
Provider Business Practice Location Address Fax Number:
270-388-5452
Provider Enumeration Date:
04/21/2009

Additional Information

Authorized Official

Authorized Official Last Name:
LOVELL
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
D
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
270-365-0300

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  29000 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 64294000 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com