The James B. Haggin Memorial Hospital Inc.
Organization Active NPI Family Medicine Physician · Springfield, KY
NPI 1770075491 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1770075491
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC.
- Practice address
- 280 Lincoln Dr
Springfield, KY 40069-1577 - Phone
- (859) 336-9801
- NPI assigned
- May 30, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. Daniel McKay
- Title
- Cfo
- Phone
- (859) 239-2410
Owners & managing parties with NPI records 3
-
Gregory A Cobetto, DMD
-
Buddy Hurt, DO
-
Jeremiah Phelps, MD PHD
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 8
Related certifications (CCN) 1
Change of ownership 1
Facilities with the same owner 14
Practitioners 27
-
Victoria Page Arnold, APRN
-
Elena Baker, APRN
-
Greta Coleman Barker, APRN
-
Summer Mountjoy Blair, APRN
-
Zachary Davis, NP
-
Samantha Dewitt, NP
-
Melissa Dunaway Haddix, D.O.
-
Fred L. Hamlin III, APRN
-
Veronica House, FNP
-
Christina Michelle Leber, APRN, FNP-C
-
Amanda Moss, APRN
-
Kacey Nicely, APRN
-
Ashley Price, PA-C
-
Jamin Andrew Scribner, APRN
-
Mohammad Fateh Shahzad, M.D.
-
Austin Simpson, PA-C
-
Melissa L Sims, APRN
-
Sabrina Wellman, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
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
- Corporation · Non-profit
- Incorporated
- Jan 13, 1913 in KY
- Enrollment address
- 280 Lincoln Dr
Springfield, KY 40069-1577 - Related CCNs
- 181302
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Daniel McKay |
Corporate Officer |
Jul 15, 2018 | |
| Gregory a Cobetto |
Corporate Director |
Dec 1, 2017 | |
| Kay Richardson |
Corporate Director |
Jan 1, 2021 | |
| John Settles |
Corporate Director |
Jan 1, 2021 | |
| Jeremiah T Phelps |
Corporate Director |
Jan 1, 2021 | |
| Lynne W Lynn |
Corporate Director |
Dec 1, 2017 | |
| James Dunn |
Corporate Director |
Dec 1, 2017 | |
| Buddy L Hurt |
Corporate Director |
Jan 1, 2021 | |
| Joetta Wickliffe |
Corporate Director |
Dec 1, 2017 | |
| Ephraim McDowell Health Inc |
Operational/Managerial Control | Jul 1, 2018 | |
| Dennis Davis |
Corporate Director |
Dec 1, 2017 | |
| Shawn Markham |
Corporate Director |
Jan 1, 2021 | |
| Sharon McWhorter |
W-2 Managing Employee |
Jul 1, 2018 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jul 1, 2018 | Change of Ownership |
Ephraim McDowell Springfield Family Medical Center |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180709000994 | KY | Part a Provider - Rural Health Clinic | 8527957448 | Practice locations: Springfield, KY |
National Provider Directory
- Tax ID family
- The James B Haggin Memorial
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| 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
- Ephraim McDowell Springfield Family Medical Center
Other providers in Springfield, KY
- Springfield Physical Therapy, LLC
- Dawn C Taylor
- Gail Ballard Taylor
- Terra S Taylor
- Joanna Filiatreau Tennill
- Krista Kelly Thompson
- Erica Essex Vance
- Walgreen Co
- Katie Warner
- Washington County Schools
All providers in Springfield, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.