Caldwell County Free Clinic, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

740125 Issued in KY

Legal business name

CALDWELL COUNTY FREE CLINIC, INC.

Practice address

206 W Main St
Princeton, KY 42445-1555

Phone

(270) 365-0901

Fax

(270) 365-3203

NPI assigned

Apr 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Donna May Bowers

Title

Executive Director

Phone

(270) 365-0901

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356568331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W MAIN ST",
            "address_2": "PO BOX 832",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424451555",
            "telephone_number": "270-365-0901",
            "fax_number": "270-365-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W MAIN ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424451555",
            "telephone_number": "270-365-0901",
            "fax_number": "270-365-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL COUNTY FREE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-365-0901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KY",
            "license": "740125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Norrigan Buffington
• Velma Nichole Butler
• C. Michael Littlejohn, MD, PSC
• Caldwell County Board of Education
• Caldwell County Emergency Medical Service
• Caldwell County Hospital (Caldwell County Medical Clinic)
• Caldwell County Hospital Inc
• Caldwell County Hospital Inc (Caldwell Medical Associates)
• Caldwell County Hospital, Inc (Stafford Family Medicine)
• Caldwell County Hospital, Inc (Perry Family Medical)

• Health Service Clinic/Center in Princeton, KY
• Providers in Princeton, KY by specialty
• Health Service Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.