NPIMap

Organization Active NPI

Caldwell County Hospital Inc

Doing business as Caldwell Medical Associates

  • Rural Health Clinic/Center
  • Princeton, KY
National Provider Identifier
1992268247
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CALDWELL COUNTY HOSPITAL INC
Doing business as
Caldwell Medical Associates
Practice address
320 Micbeth Dr
Princeton, KY 42445-6332
Phone
(270) 365-0320
Fax
(270) 365-4152
NPI assigned
Apr 12, 2019
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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) 365-0238

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

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 1

  • Caldwell Medical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190517000413 KY Part A Provider - Rural Health Clinic 0749275014 Practice locations: Princeton, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992268247. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Nov 25, 1952 in KY
Enrollment address
320 Micbeth Dr
Princeton, KY 42445-6332
Related CCNs
181322

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
18D2131272Caldwell Medical Associates320 Micbeth Drive, Princeton, KY 42445Certificate of waiverMay 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Caldwell County Hospita7 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.

Locations

550 US Highway 62 W
Ste 400
Princeton, KY 42445
Phone (270) 365-0300

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
David Lee Oliver Individual Corporate OfficerSecretary May 1, 2019
Nacy Elizabeth Butts Individual Corporate OfficerCfo May 1, 2019
Corporate DirectorCfo May 1, 2019
W-2 Managing EmployeeCfo May 1, 2019
Charles Littlejohn Individual Corporate OfficerChairman May 1, 2019
Joseph Falder Individual Corporate OfficerVice Chairman May 1, 2019
Harold D Odegaard Individual Corporate OfficerCeo May 1, 2019
Corporate DirectorCeo May 1, 2019
W-2 Managing EmployeeCeo May 1, 2019
Monte Nesmith Individual Corporate OfficerMember May 1, 2019
Martiza C Stallins Individual Corporate OfficerMember May 1, 2019
Ellen Dunning Individual Corporate OfficerJudge Executive May 1, 2019
Patricia Lander Individual Corporate OfficerChairman May 1, 2019
John Bugg Individual Corporate OfficerBoard Member Apr 15, 2019
Joseph Gray Individual Corporate OfficerCommittee May 1, 2019
Steve Woodward Individual Corporate OfficerMember May 1, 2019

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1992268247",
    "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": "270-365-0320",
            "fax_number": "270-365-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MICBETH DR",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424456332",
            "telephone_number": "270-365-0320",
            "fax_number": "270-365-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL COUNTY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "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": "270-365-0238"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, KY

Sources for this page

Verify at the official NPI Registry.