# CALDWELL COUNTY HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CALDWELL COUNTY HOSPITAL, INC
- **Other names:** PERRY FAMILY MEDICAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487801171
- **Legal business name:** CALDWELL COUNTY HOSPITAL, INC
- **Authorized official:** LINDA DERR (PROVIDER ENROLLMENT SPECIALIST)
- **Authorized official phone:** (270) 744-9600

## Contact information

- **Practice address:** 407 US HIGHWAY 62 W, PRINCETON, KY 42445-2409
- **Practice address phone:** (270) 744-9600
- **Practice address fax:** (270) 744-0834
- **Mailing address:** PO BOX 9150, PADUCAH, KY 42002-9150
- **Mailing address phone:** (270) 744-9600
- **Mailing address fax:** (270) 744-0834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 41202 | KY | Yes |

## Other

- **Enumeration date:** 08/25/2008
- **Last updated:** 06/22/2011