NPIMap

Organization Active NPI

The James B. Haggin Memorial Hospital Inc

Doing business as Ephraim McDowell Family and Internal Medicine

  • Family Medicine Physician
  • Danville, KY
National Provider Identifier
1528547247
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC
Doing business as
Ephraim McDowell Family and Internal Medicine
Practice address
105 Ponder CT Ste 104
Danville, KY 40422-9050
Phone
(859) 236-4852
Fax
(859) 238-9760
NPI assigned
Aug 13, 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
Mr. Daniel McKay
Title
Ceo
Phone
(859) 239-2410

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Rural Health Clinic/Center 261QR1300X
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

105 Ponder CT Ste 104
Danville, KY 40422-9050

Mailing address

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

Other names 1

  • EPHRAIM MCDOWELL FAMILY AND INTERNAL MEDICINE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180928000211 KY Part A Provider - Rural Health Clinic 8527957448 Practice locations: Danville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528547247. Details of each certification follow.

Rural health clinic certification: CCN 188522

Legal name
THE JAMES B HAGGIN MEMORIAL HOSPITAL INC
Doing business as
EPHRAIM MCDOWELL FAMILY AND INTERNAL MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 24, 2019
Last certification
Jan 24, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jan 13, 1913 in KY
Enrollment address
105 Ponder CT
Ste 104
Danville, KY 40422-9050
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).

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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 16, 2018
Gregory a Cobetto Individual Corporate DirectorBoard Member Jan 1, 2018
Kay Richardson Individual Corporate DirectorBoard Member Jan 1, 2018
Jeremiah T Phelps Individual Corporate DirectorBoard Member Jan 1, 2021
Lynne W Lynn Individual W-2 Managing EmployeeBoard Member Jan 1, 2018
James Dunn Individual Corporate DirectorBoard Member Jan 1, 2018
Buddy L Hurt Individual Corporate DirectorBoard Member Jan 1, 2021
Joetta Wickliffe Individual Corporate DirectorBoard Member Jan 1, 2018
Ephraim McDowell Health Inc Organization, Danville, KY Corporation, Non-profit Operational/Managerial Control Oct 1, 2018
Dennis Davis Individual Corporate DirectorBoard Member Jan 1, 2018
Shawn Markham Individual Corporate DirectorBoard Member Jan 1, 2021
Sharon McWhorter Individual W-2 Managing EmployeeBusiness Office Director Jan 1, 2018

Owners & managing parties with NPI records 3

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

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1528547247",
    "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": "105 PONDER CT STE 104",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229050",
            "telephone_number": "859-236-4852",
            "fax_number": "859-238-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPHRAIM MCDOWELL FAMILY AND INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.