Ephraim McDowell Health Resource, Inc.
Organization Active NPI Family Medicine Physician · Springfield, KY
NPI 1881749927 · NPPES record last updated Oct 7, 2011
Key facts
- NPI
- 1881749927
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 900140 (KY)
- Legal business name
- EPHRAIM MCDOWELL HEALTH RESOURCE, INC.
- Practice address
- 280 Lincoln Drive
Springfield, KY 40069-1516 - Phone
- (859) 336-9801
- Fax
- (859) 336-3080
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
Authorized official
- Name
- William M Snapp III
- Title
- Cfo
- Phone
- (859) 239-1000
Other NPIs on the same Medicare enrollment 24
Member of 1
Change of ownership 1
Practitioners 5
-
Teresa J Casey, APRN
-
Jennifer C Daniel, APRN
-
Andrea Michelle Tompkins, ARNP
-
Megan Marie Kegley, APRN
-
Lindsay B Medley, APRN, DNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
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 |
|---|---|---|---|---|
| O20031218000776 | KY | Part B Supplier - Clinic/Group Practice | 7517876956 |
Receives reassigned benefits from 259 practitioners 24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Stanford, KY; Springfield, KY; Somerset, KY; Liberty, KY; Lancaster, KY; Harrodsburg, KY; Danville, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 900140 | KY | Yes |
Addresses
Primary practice location
280 Lincoln Drive
Springfield, KY 40069-1516
Mailing address
PO Box 990
Danville, KY 40423-0990
Phone (859) 239-2360
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1054929 | Other | KY | PASSPORT |
| 35001635 | Medicaid | KY |
Other names
- EPHRAIM MCDOWELL SPRINGFIELD FAMILY MEDICAL CENTER
Other providers in Springfield, KY
- Jennifer Dean
- Diagnostic Solutions LLC
- Don K. Flowers, Jr., D.M.D., P.S.C.
- Diane Eickmeier
- Jonathon Lee Ennis
- Heather Lynn Estep
- Extendicare Homes, Inc.
- Family Pharmacy, LLC
- Family Wellcare Clinic, PLLC
- Kelly E Fenwick
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 Oct 7, 2011. 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.