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Organization
CALDWELL COUNTY HOSPITAL, INC
Active
Organization
CALDWELL COUNTY HOSPITAL, INC
Active
Parent organization
CALDWELL COUNTY HOSPITAL, INC
Other names
STAFFORD FAMILY MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALDWELL COUNTY HOSPITAL, INC
Authorized official
LINDA DERR (PROVIDER ENROLLMENT SPECIALIST)
(270) 744-9600
Entity
Organization
Contact information
Practice address
323 S JEFFERSON ST, UNIT C, PRINCETON, KY 42445-2100
(270) 744-9600
(270) 744-0834
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41705
KY
Other
Enumeration date
08/26/2008
Last updated
09/22/2008
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