NPIMap

Organization Active NPI

Ephraim McDowell Regional Medical Center Incorporated

Doing business as MedSource of Stanford

  • Oxygen Equipment & Supplies (DME)
  • Stanford, KY
National Provider Identifier
1093040032
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
040629 Issued in KY
Legal business name
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED
Doing business as
MedSource of Stanford
Practice address
107 Metker TRL Ste 1
Stanford, KY 40484-1049
Phone
(606) 365-4632
Fax
(606) 365-4637
NPI assigned
Oct 8, 2009
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel McKay
Title
Ceo
Phone
(859) 239-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 040629 KY Primary

Addresses

Primary practice location

107 Metker TRL Ste 1
Stanford, KY 40484-1049

Mailing address

330 S 4TH St Ste B
Danville, KY 40422-2033
Phone (606) 365-4632

Other names 1

  • MedSource of Stanford Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930022899 KY DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Respiratory Therapist 3375506447 Practice locations: Stanford, KY

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
McDowell Medsource14 organizations share this tax ID, including this one
Part of
McDowell Medsource

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

107 Metker Trl
Ste 1
Stanford, KY 40484
Phone (606) 365-4632

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1093040032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S 4TH ST STE B",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222033",
            "telephone_number": "606-365-4632",
            "fax_number": "606-365-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 METKER TRL STE 1",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841049",
            "telephone_number": "606-365-4632",
            "fax_number": "606-365-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2009-10-08",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-239-2410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KY",
            "license": "040629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedSource of Stanford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanford, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.