Provider Demographics
NPI:1851486708
Name:CALDWELL COUNTY HOSPITAL INC
Entity Type:Organization
Organization Name:CALDWELL COUNTY HOSPITAL INC
Other - Org Name:SWINGBED
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-365-0300
Mailing Address - Street 1:101 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:KY
Mailing Address - Zip Code:42445
Mailing Address - Country:US
Mailing Address - Phone:270-365-0300
Mailing Address - Fax:270-365-0332
Practice Address - Street 1:101 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:KY
Practice Address - Zip Code:42445
Practice Address - Country:US
Practice Address - Phone:270-365-0300
Practice Address - Fax:270-365-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000054480OtherBLUE CROSS
KY12700175Medicaid
KY18Z322Medicare PIN