Caldwell County Medical Clinic

LBN: Caldwell County Medical Clinic
Caldwell County Medical Clinic is an health care organization with primary practice located at 323 S Jefferson St Suite D, Princeton KY 42445-2100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Caldwell County Medical Clinic can be contacted via phone (270) 365-4505, or through Evans, Dana via phone (270) 744-9600.

Contact Information

Primary practice address
323 S Jefferson St Suite D Princeton KY 42445-2100
Phone: (270) 365-4505
Fax: (270) 365-4539
Website:
Map and Directions
Authorized official contact:
Name: Evans, Dana
Phone: (270) 744-9600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1801905906
LBN Legal business name Caldwell County Medical Clinic
DBA Doing business as
Authorized official Evans, Dana
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 17th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801905906 NPPES
Kentucky MEDICAID 65942872

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