Covered Entity Details

DSH180048C EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. (Active) - information as of 4/25/2025 6:32:36 PM

Main Details

Name

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.

Subdivision Name

Ephraim McDowell Urology Clinic - Ephraim McDowell Urology Clinic

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH180048C

Medicare Provider Number

180048

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

4/8/2019

Participating Start Date

7/1/2019

Participating Approval Date

6/5/2019

Last Recertification Date

8/13/2024

Contacts

Authorizing Official

Ephraim McDowell Health
Amanda J. Kinman, Chief Financial Officer
(859) 239-2424

Primary Contact

Ephraim McDowell Health
Megan N Curtis, 340B Program Coordinator
(859) 239-1727

Addresses

Street Address

230 W. Main Street, Suite 102
Danville, KY 40422

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
KY	7100378260,7100378240	1194103937

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH180048A	Child	DSH	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.	Cancer Support Clinic	520 Techwood Drive	Danville	KY	Active
DSH180048B	Child	DSH	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.	Hope Clinic	105 Daniel Drive	Danville	KY	Active
DSH180048C	Child	DSH	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.	Ephraim McDowell Urology Clinic - Ephraim McDowell Urology Clinic	230 W. Main Street, Suite 102	Danville	KY	Active
DSH180048D	Child	DSH	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.	Ephraim McDowell Ear, Nose and Throat - Ephraim McDowell Ear, Nose and Throat	1250 Ben Ali Drive	Danville	KY	Active
DSH180048E	Child	DSH	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.	Ephraim McDowell Specialty Center Annex - Behavioral Health OP Clinic	124 Daniel Drive	Danville	KY	Active
DSH180048F	Child	DSH	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.	Ephraim McDowell Health Specialty Clinic - Ephraim McDowell Health Specialty clinic	216 West Walnut	Danville	KY	Active
DSH180048G	Child	DSH	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.	Ephraim McDowell Neurosciences - Ephraim McDowell Neurosciences	102 Citation Drive	Danville	KY	Terminated
DSH180048H	Child	DSH	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.	Ephraim McDowell Heart and Vascular Institute - Ephraim McDowell Heart and Vascular Institute	216 West Walnut	Danville	KY	Active
DSH180048J	Child	DSH	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.	OUTPATIENT DEPARTMENT OF THE HOSPITAL - EPHRAIM MCDOWELL EYE AND VISION CENTER	1541 LEBANON RD, SUITE 2	DANVILLE	KY	Active
DSH180048K	Child	DSH	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.	OUTPATIENT DEPARTMENT OF THE HOSPITAL - EMH CENTRAL KENTUCKY SURGEONS	130 DANIEL DRIVE	DANVILLE	KY	Active
DSH180048L	Child	DSH	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.	EPHRAIM MCDOWELL BARIATRIC CENTER - Ephraim McDowell Bariatric Center	102 CITATION DR	DANVILLE	KY	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	Group Change Request	Haltom, Joan B System Director of Pharmacy Ephraim McDowell Health 8592391721	Curtis, Megan N 340B Program Coordinator Ephraim McDowell Health 8592391727	12/17/2024 2:08 PM
Details	Last Recertification Date	Update	Recertification	8/30/2023 8:40:00 AM	8/13/2024 5:29:52 PM	8/13/2024 5:29 PM
Contacts	Primary Contact	Update	Group Change Request	Curtis, Megan N 340B Program Coordinator Ephraim McDowell Health 8592391727	Haltom, Joan B System Director of Pharmacy Ephraim McDowell Health 8592391721	7/24/2024 8:25 AM
Contacts	Authorizing Official	Update	Change Request	McKay, Daniel E President & CEO Ephraim McDowell Regional Medical Center, Inc 8592392409	Kinman, Amanda J. Chief Financial Officer Ephraim McDowell Health 8592392424	9/11/2023 7:45 AM
Contacts	Primary Contact	Update	Profile Change Request	Ballard, Megan N 340b Program Coordinator Ephraim McDowell Health 8592391727	Curtis, Megan N 340B Program Coordinator Ephraim McDowell Health 8592391727	9/7/2023 1:20 PM
Details	Last Recertification Date	Update	Recertification	8/30/2022 1:26:38 PM	8/30/2023 8:40:00 AM	8/30/2023 8:40 AM
Details	Last Recertification Date	Update	Recertification	8/17/2021 2:11:11 PM	8/30/2022 1:26:38 PM	8/30/2022 1:26 PM
Details	Last Recertification Date	Update	Recertification	8/31/2020 12:08:37 PM	8/17/2021 2:11:11 PM	8/17/2021 2:11 PM
Contacts	Authorizing Official	Update	AO Change Request	SNAPP III, William M. CFO Ephraim McDowell Health 8592392424	McKay, Daniel E President & CEO Ephraim McDowell Regional Medical Center, Inc 8592392409	4/30/2021 3:34 PM
Medicaid Billing	NPI: State	Update	Recertification		KY	8/31/2020 12:08 PM
Details	Last Recertification Date	Update	Recertification	9/4/2019 10:27:12 AM	8/31/2020 12:08:37 PM	8/31/2020 12:08 PM
Contacts	Primary Contact	Update	Change Request	Haltom, Joan B System Director of Pharmacy Ephraim McDowell Health 8592391721	Ballard, Megan N 340b Program Coordinator Ephraim McDowell Health 8592391727	11/12/2019 9:51 AM
Details	Last Recertification Date	Update	Recertification		9/4/2019 10:27:12 AM	9/4/2019 10:27 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	7/9/2019 9:49 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		7100378260	7/9/2019 9:49 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		KY	7/9/2019 9:49 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	7/9/2019 9:49 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		7100378240	7/9/2019 9:49 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		KY	7/9/2019 9:49 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1194103937	7/9/2019 9:49 AM
Details	State	Update		Approved	Active	7/1/2019 12:05 AM
Contacts	Signed By	Insert	New Registration		SNAPP III, William M. CFO Ephraim McDowell Health 8592392424	6/5/2019 2:16 PM
Details	340B ID	Update	New Registration		DSH180048C	6/5/2019 2:16 PM
Details	Entity Name	Update	New Registration	EPHRAIM MCDOWELL REG MED CTR	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.	6/5/2019 2:16 PM
Details	Entity Subname	Update	New Registration	Ephraim McDowell Urology Clinic	Ephraim McDowell Urology Clinic - Ephraim McDowell Urology Clinic	6/5/2019 2:16 PM
Dates	Participating Approval Date	Update	New Registration		6/5/2019 2:16:51 PM	6/5/2019 2:16 PM
Details	State	Update	New Registration	Pending	Approved	6/5/2019 2:16 PM
Dates	Signed By Date	Update	New Registration		4/8/2019 12:13:14 PM	6/5/2019 2:16 PM
Dates	Start Date	Update	New Registration		7/1/2019 12:00:00 AM	6/5/2019 2:16 PM
Addresses	Main Address	Insert	New Registration		230 W. Main Street, Suite 102 Danville, KY 40422	4/8/2019 12:13 PM
Contacts	Primary Contact	Insert	New Registration		Haltom, Joan B System Director of Pharmacy Ephraim McDowell Health 8592391721	4/8/2019 12:13 PM
Contacts	Authorizing Official	Insert	New Registration		SNAPP III, William M. CFO Ephraim McDowell Health 8592392424	4/8/2019 12:13 PM
Details	Last Recertification Date	Insert	New Registration			4/8/2019 12:13 PM
Details	Grant Number	Insert	New Registration			4/8/2019 12:13 PM
Details	340B ID	Insert	New Registration			4/8/2019 12:13 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/8/2019 12:13 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/8/2019 12:13 PM
Details	Medicare Provider Number	Insert	New Registration		180048	4/8/2019 12:13 PM
Details	Entity Name	Insert	New Registration		EPHRAIM MCDOWELL REG MED CTR	4/8/2019 12:13 PM
Details	Program Code	Insert	New Registration		DSH	4/8/2019 12:13 PM
Details	Entity Subname	Insert	New Registration		Ephraim McDowell Urology Clinic	4/8/2019 12:13 PM
Dates	Participating Approval Date	Insert	New Registration			4/8/2019 12:13 PM
Details	State	Insert	New Registration		Pending	4/8/2019 12:13 PM
Dates	Registration Date	Insert	New Registration		4/8/2019 12:13:10 PM	4/8/2019 12:13 PM
Dates	Signed By Date	Insert	New Registration			4/8/2019 12:13 PM
Dates	Start Date	Insert	New Registration			4/8/2019 12:13 PM
Terminations	Termination Comments	Insert	New Registration			4/8/2019 12:13 PM
Terminations	Termination Date	Insert	New Registration			4/8/2019 12:13 PM
Terminations	Termination Effective Date	Insert	New Registration			4/8/2019 12:13 PM
Terminations	Termination Reason	Insert	New Registration			4/8/2019 12:13 PM