Healthcare Provider Details

I. General information

NPI: 1336580554
Provider Name (Legal Business Name): EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 TECHWOOD DR N STE 100
DANVILLE KY
40422-8500
US

IV. Provider business mailing address

PO BOX 1108
DANVILLE KY
40423-1108
US

V. Phone/Fax

Practice location:
  • Phone: 859-236-2203
  • Fax:
Mailing address:
  • Phone: 859-239-2360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL MCKAY
Title or Position: CEO
Credential:
Phone: 859-239-1000