CALDWELL CO TIGER CLINIC
NPI 1750563102
Public Health or Welfare in Princeton, KY

NPI Status: Active since November 28, 2007

Contact Information

105 EDUCATIONAL DR
PRINCETON, KY
ZIP 42445
Phone: (270) 388-9747
Fax: (270) 388-7749

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  • Organization
  • Public Health or Welfare
  • CLIA Number: 18D2261378
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 05-30-2026

About CALDWELL CO TIGER CLINIC

This page provides the complete NPI Profile along with additional information for Caldwell Co Tiger Clinic, a provider established in Princeton, Kentucky operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1750563102 assigned on November 2007. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Caldwell Co Tiger Clinic. The authorized official of this NPI record is Mrs. Allison L Beshear (Public Health Director)

NPI
1750563102
Provider Legal Name
PENNYRILE DISTRICT HEALTH DEPARTMENT
Other Organization Name
CALDWELL CO TIGER CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
105 EDUCATIONAL DR PRINCETON, KY 42445
Location Phone
(270) 388-9747
Location Fax
(270) 388-7749
Mailing Address
PO BOX 770 EDDYVILLE, KY 42038
Mailing Phone
(270) 388-9747
Mailing Fax
(270) 388-7749
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-28-2007
Last Update Date
04-15-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License State
KY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. ALLISON L BESHEAR

Authorized Official Title
PUBLIC HEALTH DIRECTOR
Authorized Official Phone
(270) 388-9747

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
20001350MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2261378
Facility Type
Practitioner Other
Certificate Effective Date
May 31, 2024
Certificate Expiration Date
May 30, 2026
Laboratory Director
DR. DAVID FRENCH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Caldwell Co Tiger Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750563102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100106610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 6 + 6 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1750563102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750563102, enumerated as an "organization" on November 28, 2007.

The provider is located at 105 EDUCATIONAL DR PRINCETON, KY 42445 and the phone number is (270) 388-9747.

Public Health or Welfare with taxonomy code 251K00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.