Provider Demographics
NPI:1972836559
Name:EPHRAIM MCDOWELL HEALTH RESOURCE, INC.
Entity type:Organization
Organization Name:EPHRAIM MCDOWELL HEALTH RESOURCE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SNAPP
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:859-239-1000
Mailing Address - Street 1:189 FARRA DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:KY
Mailing Address - Zip Code:40444-8764
Mailing Address - Country:US
Mailing Address - Phone:859-792-2129
Mailing Address - Fax:
Practice Address - Street 1:189 FARRA DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:KY
Practice Address - Zip Code:40444-8764
Practice Address - Country:US
Practice Address - Phone:859-792-2129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health