FORT LOGAN WALK-IN & PRIMARY CARE
NPI 1386799757
Family Medicine in Stanford, KY
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fort Logan Walk-in & Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
247Medicare enrollment records show 247 clinicians reassign Medicare billing to Fort Logan Walk-In & Primary Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 85 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 35
Nearest to this location (20)
See all 247Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, KYMedical Equipment Supplier Medicare DMEPOS 23
Medicare supplier enrollment and the product categories Medsource Of Stanford carries, from the Medicare DMEPOS supplier directory.
Medsource Of Stanford
DMEPOS supplier · Stanford, KYOperated by Ephraim Mcdowell Regional Medical Center IncorporatedAccepts Medicare assignment
Medsource Of Stanford agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ephraim Mcdowell Health Resource, Inc.'s NPI number?
The NPI number for Ephraim Mcdowell Health Resource, Inc. is 1386799757. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is doing business as Fort Logan Walk-In & Primary Care.
Where is Ephraim Mcdowell Health Resource, Inc. located?
Ephraim Mcdowell Health Resource, Inc. is located at 110 Metker Trl, Stanford, KY 40484. The listed phone number is (606) 365-3360.
What is Ephraim Mcdowell Health Resource, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ephraim Mcdowell Health Resource, Inc. enrolled in Medicare?
Yes. Ephraim Mcdowell Health Resource, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ephraim Mcdowell Health Resource, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 247 clinicians in 35 Medicare specialties reassign their Medicare billing to Ephraim Mcdowell Health Resource, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (93), Certified Registered Nurse Anesthetist (CRNA) (28) and Internal Medicine (18). Of these, 2 practice at this address and 85 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ephraim Mcdowell Health Resource, Inc. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Medsource Of Stanford accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Ephraim Mcdowell Health Resource, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D0968439) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ephraim Mcdowell Health Resource, Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Ephraim Mcdowell Health Resource, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ephraim Mcdowell Health Resource, Inc. was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fort Logan Walk-In & Primary Care · NPI 1386799757
Family Medicine organization in Stanford, Kentucky. Organization record, active in the CMS NPPES registry since January 24, 2007.
## Identity
- **NPI:** 1386799757 (Entity type: Organization)
- **Enumerated:** January 24, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Ephraim Mcdowell Health Resource, Inc.
- **Organization subpart:** No
- **Authorized official:** Amanda Kinman, CFO
## Practice location
- **Address:** 110 METKER TRL, Stanford, KY 40484-1065
- **Phone:** (606) 365-3360
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 247 clinicians in 35 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (93), Certified Registered Nurse Anesthetist (CRNA) (28), Internal Medicine (18); 2 practice at this address and 85 within 10 miles; [full list](https://npiprofile.com/npi/1386799757/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2021
- **Other identifiers:** Medicaid 35001478 (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386799757) · Data from the CMS NPPES public registry.