Organization Active NPI

Caldwell County Hospital, Inc

Doing business as Perry Family Medical

  • Family Medicine Physician
  • Princeton, KY
National Provider Identifier
1487801171
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41202 Issued in KY
Legal business name
CALDWELL COUNTY HOSPITAL, INC
Doing business as
Perry Family Medical
Practice address
407 US Highway 62 W
Princeton, KY 42445-2409
Phone
(270) 744-9600
Fax
(270) 744-0834
NPI assigned
Aug 25, 2008
Last updated
Jun 22, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CALDWELL COUNTY HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Linda Derr
Title
Provider Enrollment Specialist
Phone
(270) 744-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41202 KY Primary

Addresses

Primary practice location

407 US Highway 62 W
Princeton, KY 42445-2409

Mailing address

PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600

Other names 1

  • PERRY FAMILY MEDICAL Doing business as

National Provider Directory

National Provider Directory
Part of
Mike Littlejohn

Locations

407 US Highway 62 W
Princeton, KY 42445
Phone (270) 365-0300

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1487801171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 US HIGHWAY 62 W",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424452409",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL COUNTY HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALDWELL COUNTY HOSPITAL, INC",
        "enumeration_date": "2008-08-25",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "DERR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "270-744-9600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "41202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERRY FAMILY MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 22, 2011; 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.