| Ephraim Mcdowell Health Resource, Inc | |
|
640 E Lexington Ave Ste B Danville KY 40422-1719 | |
| (859) 239-4950 | |
| (859) 239-4959 |
| Full Name | Ephraim Mcdowell Health Resource, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 640 E Lexington Ave Ste B, Danville, Kentucky |
| Authorized Official Name and Position | Amanda Kinman (CFO) |
| Authorized Official Contact | 8592392424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ephraim Mcdowell Health Resource, Inc Po Box 990 Danville KY 40423-0990 Ph: (859) 239-2318 | Ephraim Mcdowell Health Resource, Inc 640 E Lexington Ave Ste B Danville KY 40422-1719 Ph: (859) 239-4950 |
| NPI Number | 1710664263 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 06/28/2023 |
| Medicare PECOS PAC ID | 7517876956 |
|---|---|
| Medicare Enrollment ID | O20230816003554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710664263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Joshua J Tweddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659827400 PECOS PAC ID: 7214218338 Enrollment ID: I20170104001477 |
| Provider Name | Kari Goan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669747184 PECOS PAC ID: 9234445222 Enrollment ID: I20181019002398 |
| Provider Name | Karl Willis Hempel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053814046 PECOS PAC ID: 1052714482 Enrollment ID: I20230913004079 |
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