Organization
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED
Active
Parent organization
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER
Other names
MedSource of Stanford
Organization subpart
Yes
Provider details
NPI number
Legal business name
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER
Authorized official
MR. WILLIAM M SNAPP III CPA (EXECUTIVE VICE PRESIDENT AND CFO)
(859) 239-1000
Entity
Organization
Contact information
Practice address
110 METKER TRL, STANFORD, KY 40484-1020
(606) 365-4632
(606) 365-4637
Mailing address
110 METKER TRL, STANFORD, KY 40484-1020
(606) 365-4632
(606) 365-4637
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
040629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90020116
—
KY
Enumeration date
10/08/2009
Last updated
07/12/2016
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