Organization
EPHRAIM MCDOWELL HEALTH RESOURCE,INC
Active
Other names
Ephraim McDowell Walk In and Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M SNAPP III (EVP/CFO)
(859) 239-2424
Entity
Organization
Contact information
Practice address
1541 LEBANON RD STE 1, DANVILLE, KY 40422-9601
(859) 236-3208
(859) 236-7991
Mailing address
PO BOX 990, DANVILLE, KY 40423-0990
(859) 239-2360
(859) 239-6898
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
700198
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100105930
—
KY
01
—
DP9904
MCR/RR
KY
Enumeration date
06/12/2009
Last updated
12/09/2019
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