NPIMap

Emhfl, Inc.

Organization Active NPI Family Medicine Physician · Stanford, KY

NPI 1205328895 · NPPES record last updated Mar 10, 2025

Key facts

NPI
1205328895
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
EMHFL, INC.
Practice address
110 Metker TRL
Stanford, KY 40484-1020
Phone
(606) 365-3360
NPI assigned
May 31, 2018
Organization subpart
No

Authorized official

Name
Amanda J Kinman III
Title
Cfo
Phone
(859) 239-2424

Owners & managing parties with NPI records 2

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

Other NPIs on the same Medicare enrollment 5

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

Other NPIs with the same Medicare PAC ID 7

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

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

Change of ownership 1

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

Facilities with the same owner 14

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

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 151

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

View all 151

Medicare Care Compare: Hospital

Listed as
Ephraim McDowell Fort Logan Hospital CCN 181315
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in KY

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
Corporation · Non-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
Corporation · Non-profit
Incorporated
Aug 9, 2002 in KY
Enrollment address
110 Metker TRL
Stanford, KY 40484-1020
Related CCNs
181315

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 Director
Board Member		 Jan 1, 2022
Daniel McKay
Individual 		Corporate Officer
Ceo		 Jul 16, 2018
W-2 Managing Employee
Ceo		 Jul 16, 2018
James a Miller
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Lee Smith
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Jerome Flynn
Individual 		Corporate Director
Board Member		 Jan 1, 2018
Corporate Director
Board Member		 Jul 1, 2018
Donna Wardrip
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Eric Caldwell
Individual 		Corporate Director
Chair		 Jan 1, 2018
Corporate Director
Board Member		 Jul 1, 2018
Chris Whitworth
Individual 		Corporate Director
Board Member		 Jan 1, 2018
Corporate Director
Board Member		 Jul 1, 2018
William Stafford
Individual 		Corporate Director
Board Member		 Jan 1, 2018
Corporate Director
Board Member		 Jul 1, 2018
Jason Dean
Individual 		Corporate Director
Board 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 Director
Board Member		 Jan 1, 2022
Donald Pendygraft
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Sharon McWhorter
Individual 		W-2 Managing Employee
Director		 Jan 1, 2018
W-2 Managing Employee
Business Office Director		 Jul 1, 2018
John E Merryman
Individual 		Corporate Director
Board Member		 Jul 1, 2018
Julian L Gander
Individual 		Corporate Officer
Chair		 Jul 1, 2018
Corporate Director
Chair		 Apr 1, 2018
Ina Glass
Individual 		Corporate Director
Board Member		 Jul 1, 2018
Lynne W Lynn
Individual 		W-2 Managing Employee
Admin/VP		 May 1, 2021
Marilyn Hafley Barlow
Individual 		Corporate Director
Vice Chair		 Jul 1, 2018
Michael W Taylor
Individual 		Corporate Director
Board Member		 Jul 1, 2018

Change-of-ownership history

DateEventCounterparty
Jul 1, 2018 Change of Ownership
This provider was the buyer		 Stanford Medical Park
CCN 183904 · KY · NPI 1386799757

Medicare enrollment records

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes
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

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

Other providers in Stanford, KY

All providers in Stanford, KY · Family Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.