NPIMap

Organization Active NPI

Caldwell County Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Princeton, KY
National Provider Identifier
1851486708
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
CALDWELL COUNTY HOSPITAL INC
Practice address
101 Hospital Dr
Princeton, KY 42445
Phone
(270) 365-0300
Fax
(270) 365-0332
NPI assigned
Oct 4, 2006
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Ms. Brenda Swaner
Title
Business Office Manager
Phone
(270) 365-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X KY Primary

Addresses

Primary practice location

101 Hospital Dr
Princeton, KY 42445

Mailing address

101 Hospital Dr
Princeton, KY 42445
Phone (270) 365-0300

Other identifiers 2

IdentifierTypeStateIssuer
12700175MedicaidKY
000000054480OtherKYBLUE CROSS

Other names 1

  • SwingBed Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071214000434 KY Part A Provider - Critical Access Hospital 0749275014 Practice locations: Princeton, KY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1851486708. Details of each certification follow.

Hospital certification: CCN 18Z322

Legal name
CALDWELL COUNTY HOSPITAL, INC
Doing business as
CALDWELL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
May 1, 1947 in KY
Enrollment address
100 Medical Center Dr
Princeton, KY 42445-2430

Hospital certification: CCN 180054

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CALDWELL CO HOSP
Certification status
Terminated Other: provider status change, Jun 30, 2004
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 7, 2002
Beds
48
Ownership / control type
Local
Facility address
101 Hospital Drive Box 410
Princeton, KY 42445

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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0031474Caldwell Medical Center100 Medical Center Drive, Princeton, KY 42445ComplianceJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
R W Hodge MD PSC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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
Ovation Health Organization, Brentwood, TN For-profit Operational/Managerial Control Oct 28, 1998
Douglas James Individual Corporate OfficerCno May 1, 2014
W-2 Managing EmployeeCno Jul 2, 2014
Charles Littlejohn Individual Corporate DirectorBoard Member Jul 1, 2011
Rod Whittington Individual Contracted Managing EmployeeCfo May 1, 2014
Corporate OfficerCfo Jul 2, 2014
Charles Lovell Individual Contracted Managing EmployeeCeo May 1, 2014
Corporate OfficerCeo Jul 2, 2014
Joni Maloney Individual Corporate OfficerQi May 1, 2014

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 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1851486708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DR",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "42445",
            "telephone_number": "270-365-0300",
            "fax_number": "270-365-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DR",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "42445",
            "telephone_number": "270-365-0300",
            "fax_number": "270-365-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL COUNTY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "SWANER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "270-365-0300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12700175",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000054480",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SwingBed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Princeton, KY

Sources for this page

Verify at the official NPI Registry.