| George Hayden Caudill, P.s.c. | |
|
1893 Red Fox Rd. Box 98 Red Fox KY 41847-0098 | |
| (606) 642-3250 | |
| (606) 642-3740 |
| Full Name | George Hayden Caudill, P.s.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1893 Red Fox Rd., Red Fox, Kentucky |
| Authorized Official Name and Position | George Hayden Caudill (PRESIDENT) |
| Authorized Official Contact | 6066423250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George Hayden Caudill, P.s.c. 1893 Red Fox Rd. Box 98 Red Fox KY 41847-0098 Ph: (606) 642-3250 | George Hayden Caudill, P.s.c. 1893 Red Fox Rd. Box 98 Red Fox KY 41847-0098 Ph: (606) 642-3250 |
| NPI Number | 1053504357 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 02/12/2008 |
| Medicare PECOS PAC ID | 2668566886 |
|---|---|
| Medicare Enrollment ID | O20070919000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053504357 | NPI | - | NPPES |
| 64190663 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 19066 (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2285P (Kentucky) | Secondary |