NPIMap

Organization Active NPI

Emhfl, Inc.

Doing business as Fort Logan Walk-in & Primary Care

  • Family Medicine Physician
  • Stanford, KY
National Provider Identifier
1205328895
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EMHFL, INC.
Doing business as
Fort Logan Walk-in & Primary Care
Practice address
110 Metker TRL
Stanford, KY 40484-1020
Phone
(606) 365-3360
NPI assigned
May 31, 2018
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
Amanda J Kinman III
Title
Cfo
Phone
(859) 239-2424

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Rural Health Clinic/Center 261QR1300X

Addresses

Primary practice location

110 Metker TRL
Stanford, KY 40484-1020

Mailing address

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

Other names 1

  • Fort Logan Walk-in & Primary Care Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091109000191 KY Part A Provider - Critical Access Hospital 7416842364 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Danville, KY; Lancaster, KY; Liberty, KY; Stanford, KY
O20180710001664 KY Part A Provider - Rural Health Clinic 7416842364 Practice locations: Stanford, KY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1205328895. Details of each certification follow.

Hospital certification: CCN 181315

Legal name
EMHFL INC
Doing business as
FORT LOGAN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2003
Last certification
May 22, 2014
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 12, 2001 in KY
Enrollment address
110 Metker TRL
Stanford, KY 40484-1020

Rural health clinic certification: CCN 188516

Legal name
EMHFL INC
Doing business as
FORT LOGAN WALK-IN & PRIMARY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 1, 2018
Last certification
Sep 28, 2017
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 9, 2002 in KY
Enrollment address
110 Metker TRL
Stanford, KY 40484-1020
Related CCNs
181315

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

Other NPIs with the same Medicare PAC ID 7

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

  • Emhfl, Inc

    dba Fort Logan Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Stanford, KY
    • NPI 1164578662

    7416842364

    Same PAC ID
  • Emhfl, Inc.

    dba Liberty Family Medical Center

    • Family Medicine Physician
    • Liberty, KY
    • NPI 1023500618

    7416842364

    Same PAC ID
  • Emhfl, Inc.

    dba Fort Logan Profees

    • Certified Registered Nurse Anesthetist
    • Stanford, KY
    • NPI 1114121159

    7416842364

    Same PAC ID
  • Emhfl, Inc.

    dba Danville Family Physicians

    • Family Medicine Physician
    • Danville, KY
    • NPI 1417436221

    7416842364

    Same PAC ID
  • Emhfl, Inc.

    dba North Garrard Family Medical Center

    • Family Medicine Physician
    • Lancaster, KY
    • NPI 1851883441

    7416842364

    Same PAC ID
  • Emhfl, Inc.

    dba Fort Logan Hospital

    • Critical Access Hospital
    • Stanford, KY
    • NPI 1932254265

    7416842364

    Same PAC ID
  • Emhfl, Inc.

    dba Ephraim McDowell Garrard Clinic

    • Rural Health Clinic/Center
    • Lancaster, KY
    • NPI 1952893620

    7416842364

    Same PAC ID

Other NPIs on the same Medicare enrollment 5

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

  • Emhfl, Inc.

    dba Liberty Family Medical Center

    • Family Medicine Physician
    • Liberty, KY
    • NPI 1023500618

    O20091109000191

    Same enrollment
  • Emhfl, Inc.

    dba Danville Family Physicians

    • Family Medicine Physician
    • Danville, KY
    • NPI 1417436221

    O20091109000191

    Same enrollment
  • Emhfl, Inc.

    dba North Garrard Family Medical Center

    • Family Medicine Physician
    • Lancaster, KY
    • NPI 1851883441

    O20091109000191

    Same enrollment
  • Emhfl, Inc.

    dba Fort Logan Hospital

    • Critical Access Hospital
    • Stanford, KY
    • NPI 1932254265

    O20091109000191

    Same enrollment
  • Emhfl, Inc.

    dba Ephraim McDowell Garrard Clinic

    • Rural Health Clinic/Center
    • Lancaster, KY
    • NPI 1952893620

    O20091109000191

    Same enrollment

Care Compare: Hospital

Medicare Care Compare
Listed as
Ephraim McDowell Fort Logan HospitalCCN 181315 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Dewayne Ruckel Individual Corporate DirectorBoard Member Jan 1, 2022
Daniel McKay Individual Corporate OfficerCeo Jul 16, 2018
W-2 Managing EmployeeCeo Jul 16, 2018
James a Miller Individual Corporate DirectorBoard Member Jan 1, 2022
Lee Smith Individual Corporate DirectorBoard Member Jan 1, 2022
Jerome Flynn Individual Corporate DirectorBoard Member Jan 1, 2018
Corporate DirectorBoard Member Jul 1, 2018
Donna Wardrip Individual Corporate DirectorBoard Member Jan 1, 2022
Eric Caldwell Individual Corporate DirectorChair Jan 1, 2018
Corporate DirectorBoard Member Jul 1, 2018
Chris Whitworth Individual Corporate DirectorBoard Member Jan 1, 2018
Corporate DirectorBoard Member Jul 1, 2018
William Stafford Individual Corporate DirectorBoard Member Jan 1, 2018
Corporate DirectorBoard Member Jul 1, 2018
Jason Dean Individual Corporate DirectorBoard Member Jan 1, 2022
Ephraim McDowell Health Inc Organization, Danville, KY Non-profit Operational/Managerial Control Jan 25, 1999
Operational/Managerial Control Jul 1, 2018
Shannon Nicole Long Individual Corporate DirectorBoard Member Jan 1, 2022
Donald Pendygraft Individual Corporate DirectorBoard Member Jan 1, 2022
Sharon McWhorter Individual W-2 Managing EmployeeDirector Jan 1, 2018
W-2 Managing EmployeeBusiness Office Director Jul 1, 2018
John E Merryman Individual Corporate DirectorBoard Member Jul 1, 2018
Julian L Gander Individual Corporate OfficerChair Jul 1, 2018
Corporate DirectorChair Apr 1, 2018
Ina Glass Individual Corporate DirectorBoard Member Jul 1, 2018
Lynne W Lynn Individual W-2 Managing EmployeeAdmin/VP May 1, 2021
Marilyn Hafley Barlow Individual Corporate DirectorVice Chair Jul 1, 2018
Michael W Taylor Individual Corporate DirectorBoard Member Jul 1, 2018

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

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2018 Change of OwnershipThis provider was the buyer Stanford Medical ParkCCN 183904, KY, NPI 1386799757

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 151

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 151

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1205328895",
    "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": "110 METKER TRL",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841020",
            "telephone_number": "606-365-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMHFL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "KINMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "859-239-2424",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Logan Walk-in & Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanford, KY

Sources for this page

Verify at the official NPI Registry.