Organization
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED
Active
Parent organization
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED
Other names
MedSource of Liberty
Organization subpart
Yes
Provider details
NPI number
Legal business name
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED
Authorized official
MR. WILLIAM M SNAPP III (EXECUTIVE VICE PRESIDENT AND CFO)
(859) 239-2424
Entity
Organization
Contact information
Practice address
68 HUSTONVILLE ST, LIBERTY, KY 42539-3469
(606) 787-0468
(606) 787-0486
Mailing address
150 S 3RD ST, DANVILLE, KY 40422-1806
(859) 239-1691
(859) 239-6728
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100231900
—
KY
Enumeration date
04/03/2012
Last updated
08/13/2020
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