Organization
CALDWELL COUNTY HOSPITAL, INC
Active
Other names
Caldwell County Hospital Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D LOVELL JR. (CEO)
(270) 365-0321
Entity
Organization
Contact information
Practice address
1310 US HIGHWAY 62 W, PRINCETON, KY 42445-6106
(270) 365-2011
(270) 365-9433
Mailing address
1310 US HIGHWAY 62 W, PRINCETON, KY 42445-6106
(270) 365-2011
(270) 365-9433
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150099
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054481
BC/BS SUPPLIER NUMBER
KY
05
—
34001172
—
KY
05
—
42001172
—
KY
Enumeration date
05/23/2005
Last updated
03/01/2010
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