FORT LOGAN WALK-IN & PRIMARY CARE
NPI 1386799757
Family Medicine in Stanford, KY

Active since January 24, 2007CLIA 18D0968439 · Waiver
110 METKER TRL, STANFORD, KY 40484(606) 365-3360 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fort Logan Walk-in & Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT LOGAN WALK-IN & PRIMARY CARE (NPI 1386799757) is a healthcare organization registered as a family medicine in Stanford, Kentucky and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Amanda Kinman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1386799757
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEPHRAIM MCDOWELL HEALTH RESOURCE, INC.
Location Address110 METKER TRLStanford, KY 40484-1065
Mailing AddressPo Box 990Danville, KY 40423-0990 · (859) 239-2379
Organization SubpartNo
Authorized OfficialAmanda KinmanCfo · (859) 239-2424
Enumeration DateJanuary 24, 2007
Last NPPES UpdateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
NPI 1386799757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 900145
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

110 METKER TRL, Stanford, KY 40484

Other Names 1

Doing Business AsFort Logan Walk-in & Primary Care

Other Identifiers 1

Medicaid35001478KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0968439

Fort Logan Walk-In & Primary Care · Stanford, KY
Active · expires Jan 25, 2028
CLIA Number18D0968439
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorMs. Gail Smothers
Laboratory Phone(606) 365-3360
Laboratory LocationFort Logan Walk-In & Primary Care110 Metker Trail, Stanford, KY 40484
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20677295
Accepts Medicare Assignment
YES
Specialities List
Medical Supply Company Other, MSC With Respiratory Therapist, MSC With Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
  • Pneumatic Compression Devices and/or Supplies - Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
  • Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
  • Traction Equipment - Traction tables, Traction machines, Inversion tables
  • Ultraviolet Light Devices and/or Supplies - Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Patient Lifts - Ceiling lifts, Slings
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386799757, enumerated as an "organization" on January 24, 2007.

The provider is located at 110 METKER TRL STANFORD, KY 40484 and the phone number is (606) 365-3360.

Family Medicine with taxonomy code 207Q00000X.

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