MEDSOURCE OF STANFORD
NPI 1093040032
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Stanford, KY
NPI Status: Active since October 08, 2009
Contact Information
110 METKER TRL
STANFORD, KY
ZIP 40484
Phone: (606) 365-4632
Fax: (606) 365-4637
- Organization
- Durable Medical Equipment & Medical Supp...
- Oxygen Equipment & Supplies
- Accepts Insurance
- CLIA Number: 18D0648501
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About MEDSOURCE OF STANFORD
This page provides the complete NPI Profile along with additional information for Medsource Of Stanford, a provider established in Stanford, Kentucky operating as a Durable Medical Equipment & Medical Supplies, focusing in oxygen equipment & supplies . The healthcare provider is registered in the NPI registry with number 1093040032 assigned on October 2009. The practitioner's primary taxonomy code is 332BX2000X with license number 040629 (KY). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Medsource Of Stanford. The authorized official of this NPI record is Mr. William M Snapp Iii Cpa (Executive Vice President And Cfo)
- NPI
- 1093040032
- Provider Legal Name
- EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED
- Other Organization Name
- MEDSOURCE OF STANFORD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 110 METKER TRL STANFORD, KY 40484
- Location Phone
- (606) 365-4632
- Location Fax
- (606) 365-4637
- Mailing Address
- 110 METKER TRL STANFORD, KY 40484
- Mailing Phone
- (606) 365-4632
- Mailing Fax
- (606) 365-4637
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-08-2009
- Last Update Date
- 07-12-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies
- Taxonomy Code
- 332BX2000X
- Type
- Suppliers
- License No.
- 040629
- License State
- KY
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 90020116 | MEDICAID (05) | KY | |
| 0319600005 | MEDICARE NSC (07) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D0648501
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- DR. KRYDER E. VAN BUSKIRK
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Medsource Of Stanford on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for MEDSOURCE OF STANFORD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 0 | 4 | 0 | 0 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 0 | 4 | 0 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 0 + 4 + 0 + 0 + 6 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1093040032 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932254265 | EMHFL, INC. Organization | General Acute Care Hospital (Critical Access) | 110 METKER TRL STANFORD, KY 40484 (606) 365-4771 |
| 1356481121 | DR. AUDREY ANN NARDUCCI M. D. Individual | Surgery | 110 METKER TRL STANFORD, KY 40484 (606) 365-3360 |
| 1801207824 | MRS. ALANA LEAVELL APRN Individual | Nurse Practitioner (Family) | 110 METKER TRL STANFORD, KY 40484 (606) 365-4160 |
| 1386799757 | EPHRAIM MCDOWELL HEALTH RESOURCE, INC. Organization | Family Medicine | 110 METKER TRL STANFORD, KY 40484 (606) 365-3360 |
| 1285011247 | JENNIFER MERRICK APRN Individual | Nurse Practitioner (Family) | 110 METKER TRL STANFORD, KY 40484 (606) 365-3360 |
| 1427026178 | JUDITH A ANDERSON SHERMAN MD Individual | Family Medicine | 110 METKER TRL STANFORD, KY 40484 (606) 365-3360 |
| 1710650437 | TEENA ANN KISSEE Individual | Nurse Practitioner (Family) | 110 METKER TRL STANFORD, KY 40484 (606) 365-9378 |
| 1639500051 | LAUREN PINGLETON Individual | Nurse Practitioner (Family) | 110 METKER TRL STANFORD, KY 40484 (606) 365-3360 |
| 1205328895 | EMHFL, INC. Organization | Family Medicine | 110 METKER TRL STANFORD, KY 40484 (606) 365-3360 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093040032, enumerated in the NPI registry as an "organization" on October 08, 2009
The provider is located at 110 Metker Trl Stanford, Ky 40484 and the phone number is (606) 365-4632
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332BX2000X with a focus in Oxygen Equipment & Supplies
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 18D0648501 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 08, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.