NPIMap

Organization Active NPI

Emhfl, Inc.

Doing business as Fort Logan Hospital

  • Critical Access Hospital
  • Stanford, KY
National Provider Identifier
1932254265
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
EMHFL, INC.
Doing business as
Fort Logan Hospital
Practice address
110 Metker TRL
Stanford, KY 40484-1020
Phone
(606) 365-4771
Fax
(606) 365-4631
NPI assigned
Jan 25, 2007
Last updated
Jul 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Michael Jackson
Title
President
Phone
(606) 365-4771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

110 Metker TRL
Stanford, KY 40484-1020

Mailing address

110 Metker TRL
Stanford, KY 40484-1020
Phone (606) 365-4771

Other identifiers 1

IdentifierTypeStateIssuer
01000223MedicaidKY

Other names 1

  • FORT LOGAN HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091109000191 KY Part A Provider - Critical Access Hospital 7416842364 5 other NPIs on this enrollment
Practice locations: Danville, KY; Lancaster, KY; Liberty, KY; Stanford, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932254265. Details of each certification follow.

Hospital certification: CCN 181315

Legal name
EMHFL INC
Doing business as
FORT LOGAN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2003
Last certification
May 22, 2014
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 12, 2001 in KY
Enrollment address
110 Metker TRL
Stanford, KY 40484-1020

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Emhfl, Inc

    dba Fort Logan Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Stanford, KY
    • NPI 1164578662

    7416842364

    Same PAC ID
  • Emhfl, Inc.

    dba Liberty Family Medical Center

    • Family Medicine Physician
    • Liberty, KY
    • NPI 1023500618

    7416842364

    Same PAC ID
  • Emhfl, Inc.

    dba Fort Logan Profees

    • Certified Registered Nurse Anesthetist
    • Stanford, KY
    • NPI 1114121159

    7416842364

    Same PAC ID
  • Emhfl, Inc.

    dba Fort Logan Walk-in & Primary Care

    • Family Medicine Physician
    • Stanford, KY
    • NPI 1205328895

    7416842364

    Same PAC ID
  • Emhfl, Inc.

    dba Danville Family Physicians

    • Family Medicine Physician
    • Danville, KY
    • NPI 1417436221

    7416842364

    Same PAC ID
  • Emhfl, Inc.

    dba North Garrard Family Medical Center

    • Family Medicine Physician
    • Lancaster, KY
    • NPI 1851883441

    7416842364

    Same PAC ID
  • Emhfl, Inc.

    dba Ephraim McDowell Garrard Clinic

    • Rural Health Clinic/Center
    • Lancaster, KY
    • NPI 1952893620

    7416842364

    Same PAC ID

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Emhfl, Inc.

    dba Liberty Family Medical Center

    • Family Medicine Physician
    • Liberty, KY
    • NPI 1023500618

    O20091109000191

    Same enrollment
  • Emhfl, Inc.

    dba Fort Logan Walk-in & Primary Care

    • Family Medicine Physician
    • Stanford, KY
    • NPI 1205328895

    O20091109000191

    Same enrollment
  • Emhfl, Inc.

    dba Danville Family Physicians

    • Family Medicine Physician
    • Danville, KY
    • NPI 1417436221

    O20091109000191

    Same enrollment
  • Emhfl, Inc.

    dba North Garrard Family Medical Center

    • Family Medicine Physician
    • Lancaster, KY
    • NPI 1851883441

    O20091109000191

    Same enrollment
  • Emhfl, Inc.

    dba Ephraim McDowell Garrard Clinic

    • Rural Health Clinic/Center
    • Lancaster, KY
    • NPI 1952893620

    O20091109000191

    Same enrollment

Care Compare: Hospital

Medicare Care Compare
Listed as
Ephraim McDowell Fort Logan HospitalCCN 181315 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Emhfl Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Dewayne Ruckel Individual Corporate DirectorBoard Member Jan 1, 2022
Daniel McKay Individual Corporate OfficerCeo Jul 16, 2018
W-2 Managing EmployeeCeo Jul 16, 2018
James a Miller Individual Corporate DirectorBoard Member Jan 1, 2022
Lee Smith Individual Corporate DirectorBoard Member Jan 1, 2022
Jerome Flynn Individual Corporate DirectorBoard Member Jan 1, 2018
Donna Wardrip Individual Corporate DirectorBoard Member Jan 1, 2022
Eric Caldwell Individual Corporate DirectorChair Jan 1, 2018
Chris Whitworth Individual Corporate DirectorBoard Member Jan 1, 2018
William Stafford Individual Corporate DirectorBoard Member Jan 1, 2018
Jason Dean Individual Corporate DirectorBoard Member Jan 1, 2022
Ephraim McDowell Health Inc Organization, Danville, KY Non-profit Operational/Managerial Control Jan 25, 1999
Shannon Nicole Long Individual Corporate DirectorBoard Member Jan 1, 2022
Donald Pendygraft Individual Corporate DirectorBoard Member Jan 1, 2022
Sharon McWhorter Individual W-2 Managing EmployeeDirector Jan 1, 2018

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 6

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.

Affiliated clinicians 151

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

View all 151

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1932254265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 METKER TRL",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841020",
            "telephone_number": "606-365-4771",
            "fax_number": "606-365-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 METKER TRL",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841020",
            "telephone_number": "606-365-4771",
            "fax_number": "606-365-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMHFL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-365-4771"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01000223",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORT LOGAN HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanford, KY

Sources for this page

Verify at the official NPI Registry.