Healthcare Provider Details

I. General information

NPI: 1679740344
Provider Name (Legal Business Name): EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 05/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 S 3RD ST
DANVILLE KY
40422-1823
US

IV. Provider business mailing address

217 S 3RD ST
DANVILLE KY
40422-1823
US

V. Phone/Fax

Practice location:
  • Phone: 859-239-2468
  • Fax: 859-239-6898
Mailing address:
  • Phone: 859-239-2468
  • Fax: 859-239-6898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM M SNAPP III
Title or Position: CFO
Credential:
Phone: 859-239-2424