NPIMap

Organization Active NPI

Ephraim McDowell Regional Medical Center Incorporated

  • Psychiatric Hospital Unit
  • Danville, KY
National Provider Identifier
1760529341
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
100034 Issued in KY
Legal business name
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED
Practice address
217 S 3Rd St
Danville, KY 40422-1823
Phone
(859) 239-1000
NPI assigned
Jan 31, 2007
Last updated
May 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William M Snapp III
Title
Cfo
Phone
(859) 239-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 100034 KY Primary

Addresses

Primary practice location

217 S 3Rd St
Danville, KY 40422-1823

Mailing address

PO Box 1108
Danville, KY 40423-1108
Phone (859) 239-1000

Other identifiers 1

IdentifierTypeStateIssuer
92000132MedicaidKY

Other names 1

  • Ephraim McDowell Regional Medical Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110114000413 KY Part A Provider - Hospital 3375506447 Practice locations: Danville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760529341. Details of each certification follow.

Hospital certification: CCN 18S048

Legal name
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED
Doing business as
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Apr 16, 1912 in KY
Enrollment address
217S 3Rd St
Danville, KY 40422-1823
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Psychiatric unit

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 19

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

NameRoleSinceShare
Thomas Hager Individual Corporate DirectorBoard Member Jan 1, 2017
Daniel McKay Individual Corporate OfficerCeo Jul 16, 2018
W-2 Managing EmployeeCeo Jul 16, 2018
Jeremy W Tarter Individual Corporate DirectorBoard Member Jan 1, 2022
Julian L Gander Individual Corporate DirectorBoard Member Jan 1, 2017
Lynne W Lynn Individual W-2 Managing EmployeeAdmin/VP May 1, 2021
Sheree Gilliam Individual Corporate DirectorBoard Member Jan 1, 2017
James Dunn Individual Corporate DirectorBoard Member Jan 1, 2017
Eric Caldwell Individual Corporate DirectorBoard Member Jan 1, 2022
Eric S Guerrant Individual Corporate DirectorBoard Member Jan 1, 2018
Rebecca Perry Chatham Individual Corporate DirectorBoard Member Jan 1, 2017
Scott Bottoms Individual Corporate DirectorBoard Member Jan 1, 2017
Anne E Turcea Individual Corporate DirectorBoard Member Jan 1, 2022
Joetta Wickliffe Individual Corporate DirectorBoard Member Jan 1, 2021
Tiffany Yeast Individual Corporate DirectorBoard Member Jan 1, 2022
Clifford Irvin Individual Corporate DirectorBoard Member Jan 1, 2017
Michael W Taylor Individual Corporate DirectorBoard Member Jan 1, 2017
David Grigson Individual Corporate DirectorBoard Member Jan 1, 2021
Sharon McWhorter Individual W-2 Managing EmployeeDirector Jan 1, 2018
Brian E. Ellis Individual Corporate DirectorBoard Member Jan 1, 2017

Owners & managing parties with NPI records 5

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1760529341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404231108",
            "telephone_number": "859-239-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 3RD ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221823",
            "telephone_number": "859-239-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "SNAPP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "859-239-1000",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "KY",
            "license": "100034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92000132",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ephraim McDowell Regional Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.