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

Get Directions Write a Review

  • 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 10 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:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • 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
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • 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
  • Everyday Gold + Vision + Adult Dental - 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM M SNAPP III CPA

Authorized Official Title
EXECUTIVE VICE PRESIDENT AND CFO
Authorized Official Phone
(859) 239-1000

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
90020116MEDICAID (05)KY 
0319600005MEDICARE 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

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093040032, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 0 + 4 + 0 + 0 + 6 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1093040032.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

General Acute Care Hospital (Critical Access)
110 METKER TRL
STANFORD, KY 40484
Surgery
110 METKER TRL
STANFORD, KY 40484
Nurse Practitioner (Family)
110 METKER TRL
STANFORD, KY 40484
Family Medicine
110 METKER TRL
STANFORD, KY 40484
Nurse Practitioner (Family)
110 METKER TRL
STANFORD, KY 40484
Family Medicine
110 METKER TRL
STANFORD, KY 40484
Nurse Practitioner (Family)
110 METKER TRL
STANFORD, KY 40484
Nurse Practitioner (Family)
110 METKER TRL
STANFORD, KY 40484
Family Medicine
110 METKER TRL
STANFORD, KY 40484

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093040032, enumerated 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.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BX2000X and a focus in Oxygen Equipment & Supplies.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.