NPIMap

Organization Active NPI

The James B. Haggin Memorial Hospital Inc

  • Critical Access Hospital
  • Harrodsburg, KY
National Provider Identifier
1902862824
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
600053 Issued in KY
Legal business name
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC
Practice address
464 Linden Ave
Harrodsburg, KY 40330-1882
Phone
(859) 734-5441
Fax
(859) 734-5563
NPI assigned
Apr 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Mr. William M Snapp III
Title
Cfo
Phone
(859) 239-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 600053 KY Primary

Addresses

Primary practice location

464 Linden Ave
Harrodsburg, KY 40330-1882

Mailing address

464 Linden Ave
Harrodsburg, KY 40330-1882
Phone (859) 734-5441

Other identifiers 4

IdentifierTypeStateIssuer
12503181MedicaidKY
1008044MedicaidKY
12700308MedicaidKY
34002865MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071117000141 KY Part A Provider - Critical Access Hospital 8527957448 Practice locations: Harrodsburg, KY

Hospital certification: CCN 181302

Legal name
THE JAMES B HAGGIN MEMORIAL HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2000
Last certification
Dec 2, 2004
Beds
25
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jan 13, 1913 in KY
Enrollment address
464 Linden Ave
Harrodsburg, KY 40330-1882
Other Hospital Practice Location
Hospital subgroups
Acute care

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
The James B. Haggin Memorial HospitalCCN 181302
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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 Jan 1, 2019
W-2 Managing EmployeeCeo Jul 15, 2018
Gregory a Cobetto Individual Corporate DirectorTreasurer Jan 1, 2019
John Trisler Individual Corporate DirectorBoard Member Jan 1, 2019
Kay Richardson Individual Corporate DirectorSecretary Jan 1, 2019
Pete Chiericozzi Individual Corporate DirectorBoard Member Oct 31, 2007
Lynne W Lynn Individual Corporate DirectorBoard Member Jan 1, 2019
James Dunn Individual Corporate DirectorBoard Member Jan 1, 2019
Thomas C Jackson Individual Corporate DirectorVice Chief of Staff Jan 1, 2019
Joetta Wickliffe Individual Corporate DirectorBoard Member Oct 31, 2007
Ephraim McDowell Health Inc Organization, Danville, KY Non-profit Operational/Managerial Control Oct 26, 2017
Dennis Davis Individual Corporate DirectorBoard Member May 1, 2014

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

Affiliated clinicians 140

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 140

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1902862824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 LINDEN AVE",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301882",
            "telephone_number": "859-734-5441",
            "fax_number": "859-734-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 LINDEN AVE",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301882",
            "telephone_number": "859-734-5441",
            "fax_number": "859-734-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-10-30",
        "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": "859-239-2424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KY",
            "license": "600053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12503181",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008044",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12700308",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34002865",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrodsburg, KY

Sources for this page

Verify at the official NPI Registry.