# EPHRAIM MCDOWELL HEALTH RESOURCE, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ephraim McDowell Stanford Medical Offices
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750790069
- **Authorized official:** MR. DANIEL MCKAY III (CEO)
- **Authorized official phone:** (859) 239-2409

## Contact information

- **Practice address:** 125 PORTMAN AVE, STANFORD, KY 40484-1229
- **Practice address phone:** (606) 365-3378
- **Practice address fax:** (606) 365-3381
- **Mailing address:** 125 PORTMAN AVE, STANFORD, KY 40484-1229
- **Mailing address phone:** (606) 365-3378
- **Mailing address fax:** (606) 365-3381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | NULL | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/12/2014
- **Last updated:** 09/10/2021