NPIMap

Organization Active NPI

Caldwell County Free Clinic, Inc.

  • Health Service Clinic/Center
  • Princeton, KY
National Provider Identifier
1356568331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Donna May Bowers
Title
Executive Director
Phone
(270) 365-0901

National Provider Directory

National Provider Directory

Locations

206 W Main St
Princeton, KY 42445
Phone (270) 365-0901

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 740125 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

206 W Main St
Princeton, KY 42445-1555

Mailing address

206 W Main St
PO Box 832
Princeton, KY 42445-1555
Phone (270) 365-0901

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "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": []
}

Other providers in Princeton, KY

Sources for this page

  • 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.