NPIMap

Organization Active NPI

RH Emergency Medicine of Caldwell Medical, LLC

  • Emergency Medicine Physician
  • Princeton, KY
National Provider Identifier
1881376747
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
RH EMERGENCY MEDICINE OF CALDWELL MEDICAL, LLC
Practice address
100 Medical Center Dr
Princeton, KY 42445-2430
Phone
(270) 365-0300
NPI assigned
Aug 1, 2023
Last updated
Sep 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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

Authorized official

Name
Jennifer K. Wakeford
Title
Enterprise Cfo
Phone
(662) 432-4106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

100 Medical Center Dr
Princeton, KY 42445-2430

Mailing address

PO Box 7058
Tupelo, MS 38802-7058

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240221004052 KY Part B Supplier - Clinic/Group Practice 2163866781 Receives reassigned benefits from 21 practitioners
Practice locations: Princeton, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726963200000",
    "number": "1881376747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7058",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388027058"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RH EMERGENCY MEDICINE OF CALDWELL MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "WAKEFORD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ENTERPRISE CFO",
        "authorized_official_telephone_number": "662-432-4106"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "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 Sep 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.