Caldwell County Hospital, Inc
Organization Active NPI Family Medicine Physician · Eddyville, KY
NPI 1972531382 · NPPES record last updated Sep 17, 2008
Key facts
- NPI
- 1972531382
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 38600 (KY)
- Legal business name
- CALDWELL COUNTY HOSPITAL, INC
- Practice address
- 403 Fairview Ave
Eddyville, KY 42038 - Phone
- (270) 388-5454
- Fax
- (270) 388-5452
- NPI assigned
- Jun 28, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CALDWELL COUNTY
Authorized official
- Name
- Dana L Evans
- Title
- Enrollment Rep
- Phone
- (270) 744-9600
Practitioners 1
-
James F Harold, CRNA
National Provider Directory
- Part of
- R Wayne Hodge MD
Locations
403 W Fairview Ave
Eddyville, KY 42038
Phone (270) 388-5454
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 38600 | KY | Yes |
Addresses
Primary practice location
403 Fairview Ave
Eddyville, KY 42038
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65922767 | Medicaid | KY |
Other names
- LYON COUNTY CLINIC
Other providers in Eddyville, KY
- Baptist Health Medical Group Inc
- Kayla Brasher
- April Ann Brown
- C&O Rehabilitation & Fitness, LLC
- Caldwell County Hospital
- Caldwell County Hospital, Inc.
- Ashley Phelps Cavanah
- Mary G Couillard
- David W French MD PSC
- Jeanie Nicole Doom
All providers in Eddyville, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.