NPIMap

Organization Active NPI

Caldwell County Hospital, Inc

  • Occupational Medicine Physician
  • Princeton, KY
National Provider Identifier
1780688333
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
CALDWELL COUNTY HOSPITAL, INC
Practice address
100 Medical Center Dr
Princeton, KY 42445-2430
Phone
(270) 365-0300
Fax
(270) 365-4152
NPI assigned
Jun 10, 2005
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Teresa L. Carpenter
Title
Director
Phone
(270) 365-0328

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Critical Access Hospital 282NC0060X 600072 KY

Addresses

Primary practice location

100 Medical Center Dr
Princeton, KY 42445-2430

Mailing address

PO Box 410
Princeton, KY 42445-0410
Phone (270) 365-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071214000375 KY Part A Provider - Critical Access Hospital 0749275014 Practice locations: Princeton, KY
O20171211001612 KY Part B Supplier - Clinic/Group Practice 0749275014 Receives reassigned benefits from 39 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eddyville, KY; Fredonia, KY; Kuttawa, KY; Princeton, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780688333. Details of each certification follow.

Hospital certification: CCN 181322

Legal name
CALDWELL COUNTY HOSPITAL, INC
Doing business as
CALDWELL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 4, 2004
Last certification
Mar 3, 2020
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 1, 1947 in KY
Enrollment address
550 Hwy 62 West
Suite 400
Princeton, KY 42445
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Caldwell Medical CenterCCN 181322 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

100 Medical Center Dr
#A
Princeton, KY 42445

320 Micbeth Dr
Princeton, KY 42445
Phone (270) 365-0320

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nacy Elizabeth Butts Individual Corporate OfficerCfo Jan 1, 2020
Corporate DirectorCfo Jan 1, 2020
W-2 Managing EmployeeCfo Jan 1, 2020
Douglas James Individual Corporate OfficerCno May 1, 2014
W-2 Managing EmployeeCno Jul 2, 2014
Charles Littlejohn Individual Corporate DirectorBoard Member Jul 1, 2011
Harold D Odegaard Individual Corporate OfficerCeo Jan 1, 2021
Corporate DirectorCeo Jan 1, 2021
W-2 Managing EmployeeCeo Jan 1, 2021
Joni Maloney Individual Corporate OfficerQi May 1, 2014
Quorum Health Resources LLC Organization, Brentwood, TN For-profit Operational/Managerial Control Nov 1, 2007

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

Affiliated clinicians 90

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1780688333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424450410",
            "telephone_number": "270-365-0300",
            "fax_number": "270-365-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424452430",
            "telephone_number": "270-365-0300",
            "fax_number": "270-365-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL COUNTY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "270-365-0328"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KY",
            "license": "600072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, KY

Sources for this page

Verify at the official NPI Registry.