NPIMap

Organization Active NPI

The James B. Haggin Memorial Hospital Inc.

Doing business as Ephraim McDowell Springfield Family Medical Center

  • Family Medicine Physician
  • Springfield, KY
National Provider Identifier
1770075491
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 Springfield Family Medical Center
Practice address
280 Lincoln Dr
Springfield, KY 40069-1577
Phone
(859) 336-9801
NPI assigned
May 30, 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
Cfo
Phone
(859) 239-2410

Specialties & licenses 2

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

Addresses

Primary practice location

280 Lincoln Dr
Springfield, KY 40069-1577

Mailing address

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

Other names 1

  • Ephraim McDowell Springfield Family Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180709000994 KY Part A Provider - Rural Health Clinic 8527957448 Practice locations: Springfield, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770075491. Details of each certification follow.

Rural health clinic certification: CCN 188514

Legal name
THE JAMES B HAGGIN MEMORIAL HOSPITAL INC
Doing business as
EPHRAIM MCDOWELL SPRINGFIELD 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
CorporationNon-profit
Incorporated
Jan 13, 1913 in KY
Enrollment address
280 Lincoln Dr
Springfield, KY 40069-1577
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
Tax ID family
The James B Haggin Memorial9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

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

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2018 Change of OwnershipThis provider was the buyer Ephraim McDowell Springfield Family Medical CenterCCN 183905, KY, NPI 1881749927

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1770075491",
    "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": "280 LINCOLN DR",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400691577",
            "telephone_number": "859-336-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "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": "Ephraim McDowell Springfield Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, KY

Sources for this page

Verify at the official NPI Registry.