# CALDWELL COUNTY HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CALDWELL COUNTY
- **Other names:** LYON COUNTY CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972531382
- **Legal business name:** CALDWELL COUNTY
- **Authorized official:** DANA L EVANS (ENROLLMENT REP)
- **Authorized official phone:** (270) 744-9600

## Contact information

- **Practice address:** 403 FAIRVIEW AVE, EDDYVILLE, KY 42038
- **Practice address phone:** (270) 388-5454
- **Practice address fax:** (270) 388-5452
- **Mailing address:** PO BOX 9150, PADUCAH, KY 42002-9150
- **Mailing address phone:** (270) 744-9600
- **Mailing address fax:** (270) 744-8642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 38600 | KY | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 09/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65922767 | — | KY |