Healthcare Provider Details

I. General information

NPI: 1316141351
Provider Name (Legal Business Name): EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 08/21/2019
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: 859-239-1000
  • Fax: 859-239-6785
Mailing address:
  • Phone: 859-239-1000
  • Fax: 859-239-6785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number100034
License Number StateKY

VIII. Authorized Official

Name: MR. WILLIAM M SNAPP III
Title or Position: CFO
Credential:
Phone: 859-239-1000