Organization Name: | EPHRAIM MCDOWELL HEALTH RESOURCES,INC |
NPI Number: | 1629459912 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM M SNAPP (CFO/VP) |
Mailing Address: | 92 Jt Petty Drive Ste 300 Russell Springs |
State: | KY US |
Postal Code: | 42642 |
Phone Number: | 8592369670 |
Fax Number: | 8592367656 |
NPI Enumeration Date: | 06/12/2015 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |