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NPI Code Detail

MEDICARE: EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC

MEDICARE: EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000061944OTHERFACET

General Provider Information

NPI Number : 1679740344
Entity Type Code : Organization
Provider Name (Legal Business Name) : EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC
Provider Business Mailing Address
First Line : 217 S 3RD ST
Second Line :
City : DANVILLE
State : KY
Zip : 40422-1823
Country : US
Telephone Number : 859-239-2468
Fax Number : 859-239-6898
Provider Business Practice Location Address
First Line : 217 S 3RD ST
Second Line :
City : DANVILLE
State : KY
Zip : 40422-1823
Country : US
Telephone Number : 859-239-2468
Fax Number : 859-239-6898
Authorized Official
Title or Position : CFO
Name : WILLIAM M SNAPP III
Credential :
Telephone Number : 859-239-2424
Provider Enumeration Date : 05/13/2008
Last Update Date : 05/13/2008

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