NPIMap

Organization Active NPI

The James B. Haggin Memorial Hospital Inc

Doing business as Ephraim McDowell Mercer Pediatrics

  • Pediatrics Physician
  • Harrodsburg, KY
National Provider Identifier
1184138356
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC
Doing business as
Ephraim McDowell Mercer Pediatrics
Practice address
466 Linden Ave Ste B
Harrodsburg, KY 40330-1841
Phone
(859) 734-5123
NPI assigned
Nov 27, 2017
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

466 Linden Ave Ste B
Harrodsburg, KY 40330-1841

Mailing address

PO Box 990
Danville, KY 40423-0990
Phone (859) 239-2360

Other names 1

  • Ephraim McDowell Mercer Pediatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040310001400 KY Part B Supplier - Clinic/Group Practice 8527957448 Receives reassigned benefits from 95 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harrodsburg, KY
O20180214000057 KY Part A Provider - Rural Health Clinic 8527957448 Practice locations: Harrodsburg, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184138356. Details of each certification follow.

Rural health clinic certification: CCN 188517

Legal name
THE JAMES B HAGGIN MEMORIAL HOSPITAL INC
Doing business as
EPHRAIM MCDOWELL MERCER PEDIATRICS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 6, 2018
Last certification
Aug 6, 2018
Ownership / control type
2A
Organization structure
CorporationNon-profit
Incorporated
Jan 13, 1913 in KY
Enrollment address
466 Linden Ave
Ste B
Harrodsburg, KY 40330-1841
Related CCNs
181302

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel McKay Individual Corporate OfficerCeo Jul 15, 2018
Gregory a Cobetto Individual Corporate DirectorBoard Member Dec 1, 2017
John Trisler Individual Corporate DirectorBoard Member Dec 1, 2017
Kay Richardson Individual Corporate DirectorBoard Member Dec 1, 2017
Pete Chiericozzi Individual Corporate DirectorVice Chair Dec 1, 2017
Lynne W Lynn Individual Corporate DirectorBoard Member Dec 1, 2017
James Dunn Individual Corporate DirectorBoard Member Dec 1, 2017
Thomas C Jackson Individual Corporate DirectorBoard Member Dec 1, 2017
Ephraim McDowell Health Inc Organization, Danville, KY Corporation, Non-profit Operational/Managerial Control Dec 1, 2017
Dennis Davis Individual Corporate DirectorBoard Member Dec 1, 2017
Sharon McWhorter Individual W-2 Managing EmployeeBusiness Officer Director Dec 1, 2017

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1184138356",
    "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": "859-239-2360",
            "fax_number": "859-239-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 LINDEN AVE STE B",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301841",
            "telephone_number": "859-734-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ephraim McDowell Mercer Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrodsburg, KY

Sources for this page

Verify at the official NPI Registry.