Organization
CALDWELL COUNTY HOSPITAL
Active
Other names
Lyon County Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D LOVELL JR. (CHIEF EXECUTIVE OFFICER)
(270) 365-0300
Entity
Organization
Contact information
Practice address
403 FAIRVIEW AVENUE, EDDYVILLE, KY 42038-8237
(270) 388-5454
(270) 388-5452
Mailing address
101 HOSPITAL DR, PO BOX 410, PRINCETON, KY 42445-2301
(270) 365-0300
(270) 365-0413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29000
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64294000
—
KY
Enumeration date
04/21/2009
Last updated
04/21/2009
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