| Caldwell County Hospital Inc | |
|
700 Cassidy Ave Fredonia KY 42411-9207 | |
| (270) 545-3386 | |
| (270) 545-3712 |
| Full Name | Caldwell County Hospital Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 Cassidy Ave, Fredonia, Kentucky |
| Authorized Official Name and Position | Harold Daniel Odegaard (CEO) |
| Authorized Official Contact | 2703650321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldwell County Hospital Inc Po Box 410 Princeton KY 42445-0410 Ph: (270) 545-3386 | Caldwell County Hospital Inc 700 Cassidy Ave Fredonia KY 42411-9207 Ph: (270) 545-3386 |
| NPI Number | 1265076947 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 11/05/2019 |
| Medicare PECOS PAC ID | 0749275014 |
|---|---|
| Medicare Enrollment ID | O20191226001728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265076947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Practice Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Cassidy Ave, Fredonia, KY 42411 Phone: 270-545-3386 Fax: 270-545-3712 | |
Fredonia Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21234 Marion Rd, Fredonia, KY 42411 Phone: 270-545-2929 |