Caldwell County Hospital Inc
Organization Active NPI Rural Health Clinic/Center · Princeton, KY
NPI 1992268247 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1992268247
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- CALDWELL COUNTY HOSPITAL INC
- Practice address
- 320 Micbeth Dr
Princeton, KY 42445-6332 - Phone
- (270) 365-0320
- Fax
- (270) 365-4152
- NPI assigned
- Apr 12, 2019
- Organization subpart
- No
Authorized official
- Name
- Teresa L. Carpenter
- Title
- Director
- Phone
- (270) 365-0238
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 6
Related certifications (CCN) 1
Practitioners 25
-
Lauren Cunningham, APRN
-
David Wayne French, M.D.
-
Anna Murphy, DNP, APRN, FNP-BC
-
Sunny Neal, APRN
-
Elizabeth Scheidler, APRN
-
Sanjay Bose, MD
-
Timothy Tinyau Chang, MD PHD
-
Kimberly J Covington, APRN, CRNA
-
Anna M. D'Amico, M.D.
-
Joseph D. Drawdy, APRN
-
Lindsey Edwards, FNP-C
-
Walker Lee Estes, D.P.M.
-
Anthony R France, CRNA
-
James F Harold, CRNA
-
Bradley Joseph Hutchins, MPAS, PA-C
-
Tonya McGowan, APRN
-
Stephanie L Mundy, APRN
-
John Anthony Ruth Jr., M.D.
-
Michael O Falaye, MD
-
John C Mobley, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2131272 | Caldwell Medical Associates | Certificate of waiver | May 24, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Rural health clinic certification: CCN 188526
- Legal name
- CALDWELL COUNTY HOSPITAL, INC
- Doing business as
- CALDWELL MEDICAL ASSOCIATES
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Aug 30, 2019
- Last certification
- Aug 30, 2019
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 25, 1952 in KY
- Enrollment address
- 320 Micbeth Dr
Princeton, KY 42445-6332 - Related CCNs
- 181322
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| David Lee Oliver |
Corporate Officer |
May 1, 2019 | |
| Nacy Elizabeth Butts |
Corporate Officer |
May 1, 2019 | |
| Corporate Director |
May 1, 2019 | ||
| W-2 Managing Employee |
May 1, 2019 | ||
| Charles Littlejohn |
Corporate Officer |
May 1, 2019 | |
| Joseph Falder |
Corporate Officer |
May 1, 2019 | |
| Harold D Odegaard |
Corporate Officer |
May 1, 2019 | |
| Corporate Director |
May 1, 2019 | ||
| W-2 Managing Employee |
May 1, 2019 | ||
| Monte Nesmith |
Corporate Officer |
May 1, 2019 | |
| Martiza C Stallins |
Corporate Officer |
May 1, 2019 | |
| Ellen Dunning |
Corporate Officer |
May 1, 2019 | |
| Patricia Lander |
Corporate Officer |
May 1, 2019 | |
| John Bugg |
Corporate Officer |
Apr 15, 2019 | |
| Joseph Gray |
Corporate Officer |
May 1, 2019 | |
| Steve Woodward |
Corporate Officer |
May 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190517000413 | KY | Part a Provider - Rural Health Clinic | 0749275014 | Practice locations: Princeton, KY |
National Provider Directory
- Tax ID family
- R Wayne Hodge MD
Locations
302 Micbeth Dr
Princeton, KY 42445
Phone (270) 365-1225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
320 Micbeth Dr
Princeton, KY 42445-6332
Mailing address
PO Box 410
Princeton, KY 42445-0410
Phone (270) 365-0320
Other names
- Caldwell Medical Associates
Other providers in Princeton, KY
- Caldwell County Board of Education
- Caldwell County Emergency Medical Service
- Caldwell County Free Clinic, Inc.
- Caldwell County Hospital
- Caldwell County Hospital Inc
- Caldwell County Hospital, Inc
- Caldwell County Hospital, Inc
- Caldwell County Hospital, Inc
- Caldwell County Hospital, Inc
- Caldwell County Hospital, Inc
All providers in Princeton, KY · Rural Health Clinic/Center 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 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.