NPIMap

Organization Active NPI

Ephraim McDowell Health Resource, Inc.

Doing business as Harrodsburg Family Medical Center

  • Family Medicine Physician
  • Harrodsburg, KY
National Provider Identifier
1174678643
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
900146 Issued in KY
Legal business name
EPHRAIM MCDOWELL HEALTH RESOURCE, INC.
Doing business as
Harrodsburg Family Medical Center
Practice address
1509 Louisville Rd
Harrodsburg, KY 40330-8622
Phone
(859) 734-5770
NPI assigned
Jan 24, 2007
Last updated
Apr 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
William M Snapp III
Title
Cfo
Phone
(859) 239-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 900146 KY Primary

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 1

IdentifierTypeStateIssuer
35001494MedicaidKY

Other names 1

  • Harrodsburg Family Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2202 Lexington Ave
Ashland, KY 41101

216 W Walnut St
Ste 2
Danville, KY 40422
Phone (859) 239-5850

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2018 Change of OwnershipThis provider was the seller Harrodsburg Family Medical CenterCCN 188515, KY, NPI 1689166274

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1174678643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404230990",
            "telephone_number": "859-239-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 LOUISVILLE RD",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403308622",
            "telephone_number": "859-734-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRAIM MCDOWELL HEALTH RESOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "SNAPP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "859-239-1000",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "900146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35001494",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrodsburg Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrodsburg, KY

Sources for this page

Verify at the official NPI Registry.