Organization
CALDWELL COUNTY HOSPITAL, INC
Active
Parent organization
CALDWELL COUNTY
Other names
LYON COUNTY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALDWELL COUNTY
Authorized official
DANA L EVANS (ENROLLMENT REP)
(270) 744-9600
Entity
Organization
Contact information
Practice address
403 FAIRVIEW AVE, EDDYVILLE, KY 42038
(270) 388-5454
(270) 388-5452
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38600
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65922767
—
KY
Enumeration date
06/28/2006
Last updated
09/17/2008
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