NPIMap

The James B. Haggin Memorial Hospital Inc.

Organization Active NPI Family Medicine Physician · Harrodsburg, KY

NPI 1689166274 · NPPES record last updated Mar 10, 2025

Key facts

NPI
1689166274
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC.
Practice address
1509 Louisville Rd
Harrodsburg, KY 40330-8622
Phone
(859) 734-5770
NPI assigned
May 31, 2018
Organization subpart
No

Authorized official

Name
Mr. Daniel McKay
Title
Cfo
Phone
(859) 239-2410

Owners & managing parties with NPI records 3

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

Other NPIs with the same Medicare PAC ID 8

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 27

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

View all 27

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Rural health clinic certification: CCN 188515

Legal name
THE JAMES B HAGGIN MEMORIAL HOSPITAL INC
Doing business as
HARRODSBURG FAMILY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 1, 2018
Last certification
Feb 7, 2013
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Incorporated
Jan 13, 1913 in KY
Enrollment address
1509 Louisville Rd
Harrodsburg, KY 40330-8622
Related CCNs
181302

All disclosed owners & managing parties 13

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 Officer
Ceo		 Jul 15, 2018
Gregory a Cobetto
Individual 		Corporate Director
Board Member		 Dec 1, 2017
Kay Richardson
Individual 		Corporate Director
Board Member		 Dec 1, 2017
John Settles
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Jeremiah T Phelps
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Lynne W Lynn
Individual 		Corporate Director Dec 1, 2017
James Dunn
Individual 		Corporate Director
Board Member		 Dec 1, 2017
Buddy L Hurt
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Joetta Wickliffe
Individual 		Corporate Director
Board Member		 Dec 1, 2017
Ephraim McDowell Health Inc
Organization · Danville, KY
Corporation, Non-profit 		Operational/Managerial Control Jul 1, 2018
Dennis Davis
Individual 		Corporate Director
Board Member		 Dec 1, 2017
Shawn Markham
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Sharon McWhorter
Individual 		W-2 Managing Employee
Business Officer Director		 Dec 1, 2017

Change-of-ownership history

DateEventCounterparty
Jul 1, 2018 Change of Ownership
This provider was the buyer		 Harrodsburg Family Medicine Center
CCN 183906 · KY · NPI 1174678643

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180705001922 KY Part a Provider - Rural Health Clinic 8527957448 Practice locations: Harrodsburg, 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

1509 Louisville Rd
Harrodsburg, KY 40330-8622

Mailing address

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

Other names

  • Harrodsburg Family Medical Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 10, 2025.

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1689166274",
    "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": "1509 LOUISVILLE RD",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403308622",
            "telephone_number": "859-734-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JAMES B. HAGGIN MEMORIAL HOSPITAL 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": "MCKAY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "859-239-2410",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "Harrodsburg Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harrodsburg Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrodsburg, KY

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

Sources for this page

Verify at the official NPI Registry.