Ephraim McDowell Health Resource, Inc.
Organization Active NPI Family Medicine Physician · Harrodsburg, KY
NPI 1174678643 · NPPES record last updated Apr 22, 2010
Key facts
- NPI
- 1174678643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 900146 (KY)
- Legal business name
- EPHRAIM MCDOWELL HEALTH RESOURCE, INC.
- Practice address
- 1509 Louisville Rd
Harrodsburg, KY 40330-8622 - Phone
- (859) 734-5770
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
Authorized official
- Name
- William M Snapp III
- Title
- Cfo
- Phone
- (859) 239-1000
Other NPIs on the same Medicare enrollment 24
Member of 1
Change of ownership 1
Practitioners 14
-
Elena Baker, APRN
-
Christina Michelle Leber, APRN, FNP-C
-
Kacey Nicely, APRN
-
Jeremiah Phelps, MD PHD
-
Tamela Cook-Mobley, APRN
-
Lindsey M. Dockemeyer, NP-C
-
Emily Jean Riley, APRN
-
Tracy Lamar Courtney, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jul 1, 2018 | Change of Ownership |
Harrodsburg Family Medical Center |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031218000776 | KY | Part B Supplier - Clinic/Group Practice | 7517876956 |
Receives reassigned benefits from 259 practitioners 24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Stanford, KY; Springfield, KY; Somerset, KY; Liberty, KY; Lancaster, KY; Harrodsburg, KY; Danville, KY |
National Provider Directory
Locations
2202 Lexington Ave
Ashland, KY 41101
216 W Walnut St
Ste 2
Danville, KY 40422
Phone (859) 239-5850
1509 Louisville Rd
Harrodsburg, KY 40330
Phone (859) 236-7712
1000 S Limestone
Lexington, KY 40506
Phone (859) 323-5901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 900146 | KY | Yes |
Addresses
Primary practice location
1509 Louisville Rd
Harrodsburg, KY 40330-8622
Mailing address
PO Box 990
Danville, KY 40423-0990
Phone (859) 239-2379
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35001494 | Medicaid | KY |
Other names
- Harrodsburg Family Medical Center
Other providers in Harrodsburg, KY
- Rebecca L Durbin
- Ephraim McDowell Haggin Physicians LLC
- Ephraim McDowell Haggin Physicians LLC
- Ephraim McDowell Haggin Physicians LLC
- Ephraim McDowell Health Resource, Inc
- Ephraim McDowell Regional Medical Center, Incorporated
- Everside Health Hitachi Harrodsburg
- Everside Health LLC
- Alice Foreman
- Patricia R Freeman
All providers in Harrodsburg, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.