CALDWELL COUNTY FREE CLINIC, INC.


Address: 206 W Main St, Princeton, KY 42445-1555
Phone: 2703650901

CALDWELL COUNTY FREE CLINIC, INC. (NPI# 1356568331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356568331
Entity Type Organization
Organization Name CALDWELL COUNTY FREE CLINIC, INC.
Practice Address 206 W Main St
Princeton
KY 42445-1555
Mailing Address 206 W Main St
Po Box 832
Princeton
KY 42445-1555
Practice Telephone 2703650901
Practice Fax Number 2703653203
Mailing Telephone 2703650901
Mailing Fax Number 2703653203
Enumeration Date 2007-04-19
Last Update Date 2020-08-22
Authorized Official Name MRS. DONNA MAY BOWERS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2703650901
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
740125 KY Ambulatory Health Care Facilities

Office Location

Street Address 206 W MAIN ST
City PRINCETON
State KY
Zip Code 42445-1555

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1285720979 Vicki Jean Simms Pharmacist 550 U.S. Hwy 62 West, Princeton, KY 42445 2006-10-04
1568557031 E. W. James and Sons, Inc Pharmacy 550 U. S. Hwy 62 West, Princeton, KY 42445 2006-10-03
1285648824 Sylvia Lynn Mccarty Social Worker 1350 Hwy 62 West, Princeton, KY 42445 2006-07-28
1497157341 App of Kentucky Ed, Pllc Physician Assistant 100 Medical Center Dr, Princeton, KY 42445 2014-09-23
1902238496 Luis Felipe Miranda Dentist 406 W Washington St, Princeton, KY 42445 2013-08-06
1932309697 Shandi Lynne Damron Social Worker 1350 Us Highway 62 W, Princeton, KY 42445 2007-07-20
1851486708 Caldwell County Hospital Inc Medicare Defined Swing Bed Unit 101 Hospital Dr, Princeton, KY 42445 2006-10-04
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1124477559 Creative Occupational Therapy Solutions Clinic/Center 1812 Grand Villa Dr, La Grange, KY 40031-8991 2016-06-07
1548623846 Frank Harrell Md Pa Clinic/Center 312 S 4th St, Suite 700, Louisville, KY 40202-3021 2016-04-04
1538520259 Romero Rehabilitation Physical Therapy Inc Clinic/Center 312 S Fourth Street, Suite 700, Lousville, KY 40202 2016-03-08
1720459282 Federal Correctional Insitution Clinic/Center 805 Fox Hollow Rd, Manchester, KY 40962-7923 2015-10-09
1831572957 Lori Lee Baker Clinic/Center 300 Dogpatch Trading Ctr, London, KY 40741-7282 2015-07-07
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Competitor

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City PRINCETON
Zip Code 42445

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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