NPIMap

Organization Active NPI

Caldwell County Hospital, Inc

  • Rural Health Clinic/Center
  • Princeton, KY
National Provider Identifier
1992286207
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
Practice address
302 Micbeth Dr
Princeton, KY 42445-6332
Phone
(270) 365-1225
Fax
(270) 365-4152
NPI assigned
Aug 24, 2018
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X KY Primary

Addresses

Primary practice location

302 Micbeth Dr
Princeton, KY 42445-6332

Mailing address

PO Box 410
Princeton, KY 42445-0410
Phone (270) 365-1225

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
O20181003003526 KY Part A Provider - Rural Health Clinic 0749275014 1 other NPI on this enrollment
Practice locations: Princeton, KY

Rural health clinic certification: CCN 188521

Legal name
CALDWELL COUNTY HOSPITAL, INC
Doing business as
CALDWELL MEDICAL ASSOCIATES
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 16, 2018
Last certification
Nov 16, 2018
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 2, 1947 in KY
Enrollment address
302 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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
18D2012975Caldwell Medical Associates302 Micbeth Drive, Princeton, KY 42445Provider-performed microscopySep 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
R Wayne Hodge MD7 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 14

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 DirectorBoard Member Sep 1, 2018
Nacy Elizabeth Butts Individual Corporate OfficerCfo Sep 1, 2018
Corporate DirectorCfo Sep 1, 2018
W-2 Managing EmployeeCfo Sep 1, 2018
Charles Littlejohn Individual Corporate DirectorBoard Member Sep 1, 2018
Joseph Falder Individual Corporate DirectorBoard Member Sep 1, 2018
Harold D Odegaard Individual Corporate OfficerCeo Sep 1, 2018
Corporate DirectorCeo Sep 1, 2018
W-2 Managing EmployeeCeo Sep 1, 2018
Monte Nesmith Individual Corporate DirectorBoard Member Sep 1, 2018
Martiza C Stallins Individual Corporate DirectorBoard Member Sep 1, 2018
Ellen Dunning Individual Corporate DirectorBoard Member Sep 1, 2018
Patricia Lander Individual Corporate DirectorBoard Member Sep 1, 2018
Michael Edmond Howard Individual Corporate DirectorBoard Member Sep 1, 2018
Jesse Rea Individual Corporate DirectorBoard Member Sep 1, 2018
John Bugg Individual Corporate DirectorBoard Member Sep 1, 2018
Joseph Gray Individual Corporate DirectorBoard Member Sep 1, 2018
Steve Woodward Individual Corporate OfficerBoard Member Sep 1, 2018

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1992286207",
    "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": "270-365-1225",
            "fax_number": "270-365-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MICBETH DR",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424456332",
            "telephone_number": "270-365-1225",
            "fax_number": "270-365-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL COUNTY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "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.