ST. CLAIRE MEDICAL CENTER, INC (NPI# 1134180920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134180920 |
Entity Type | Organization |
Organization Name | ST. CLAIRE MEDICAL CENTER, INC |
Practice Address |
632 Slate Ave Owingsville KY 40360-2206 |
Mailing Address |
Po Box 1120 Owingsville KY 40360-1120 |
Practice Telephone | 6066746386 |
Practice Fax Number | 6066743096 |
Mailing Telephone | 6066746386 |
Mailing Fax Number | 6066743096 |
Enumeration Date | 2006-03-31 |
Last Update Date | 2019-06-28 |
Authorized Official Name | DONALD H LLOYD II (PRESIDENT/CEO) |
Authorized Official Telephone | 6067836501 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
700048 | KY | Ambulatory Health Care Facilities |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
900056 | KY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | RAILROAD MEDICARE INDIV # | 080020949 | 01 |
KY | RAILROAD MEDICARE INDIV # | 080113231 | 01 |
KY | FEDERAL BLACK LUNG | 020915100 | 01 |
MEDICARE RAILROAD | CEO156 | 01 | |
KY | 31000599 | 05 | |
KY | RAILROAD MEDICARE INDIV # | 080020948 | 01 |
KY | RAILROAD MEDICARE INDIV # | 080104514 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376680751 | St. Claire Medical Center, Inc | Clinic/Center | 632 Slate Ave., Owingsville, KY 40360-1120 | 2007-02-01 |
1760477848 | St. Claire Medical Center, Inc | Home Health | 135 N Hargis Ave, Morehead, KY 40351-1676 | 2005-09-15 |
1528253531 | St. Claire Medical Center, Inc | Physician Assistant | 1028 E Main St, Morehead, KY 40351-1328 | 2007-09-12 |
1285771667 | St. Claire Medical Center, Inc | Clinic/Center | 155 Bricklayer Street, Olive Hill, KY 41164-1268 | 2007-02-01 |
1093852477 | St. Claire Medical Center, Inc | Clinic/Center | 732 Highway 36, Frenchburg, KY 40322-8123 | 2007-02-01 |
1326009044 | St. Claire Medical Center, Inc | Physician Assistant | 316 W 2nd St, Morehead, KY 40351-1550 | 2006-03-31 |
1265493993 | St. Claire Medical Center, Inc | Clinic/Center | 732 Highway 36, Frenchburg, KY 40322-8123 | 2006-03-31 |
Street Address |
632 SLATE AVE |
City | OWINGSVILLE |
State | KY |
Zip Code | 40360-2206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144229212 | Glenn R Davis | Pharmacist | 632 Slate Ave, Owingsville, KY 40360-2206 | 2005-07-20 |
1255841797 | Lori Ann Ervin | Nurse Practitioner | 632 Slate Ave, Owingsville, KY 40360-2206 | 2017-10-11 |
1336660810 | Brittany A Blair | Nurse Practitioner | 632 Slate Ave, Owingsville, KY 40360-2206 | 2017-07-05 |
1699919761 | Raymond Wendell Watters | Family Medicine | 632 Slate Ave, Owingsville, KY 40360-2206 | 2009-04-20 |
1841334570 | St Claire Regional Medical Center | Pharmacy | 632 Slate Ave, Owingsville, KY 40360 | 2007-02-16 |
1447301171 | Wendy S Martin | Nurse Practitioner | 632 Slate Ave, Owingsville, KY 40360-2206 | 2007-01-16 |
1881782167 | Jonelle Edna Delawrence | Family Medicine | 632 Slate Ave, Owingsville, KY 40360-2206 | 2006-10-11 |
1649251448 | Alisa J Click | Nurse Practitioner | 632 Slate Ave, Owingsville, KY 40360-2206 | 2005-11-09 |
1053302208 | Kimberly Bromagen | Physician Assistant | 632 Slate Ave, Owingsville, KY 40360-2206 | 2005-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902448749 | Erica Toy Wilson | Physician Assistant | 44 Water Street, Owingsville, KY 40360 | 2019-10-14 |
1811246143 | Jessica Sue Lykins | Nurse Practitioner | 42 Treadway Dr, Gudgell Ave, Owingsville, KY 40360 | 2012-08-31 |
1265709497 | Jason D Mckenzie | Nurse Practitioner | 42 Treadway Drive, Owingsville, KY 40360 | 2011-11-16 |
1528358298 | Handsbath | Public Health or Welfare | 68 Oberline St., Owingsville, KY 40360 | 2011-04-14 |
1093950800 | Kathy Moore Carter | Occupational Therapist | 406 Wyoming Rd, Owingsville, KY 40360 | 2008-12-08 |
1114131844 | First Steps | Public Health or Welfare | 39 Cedar Creek, Owingsville, KY 40360 | 2007-05-10 |
1750413035 | Bath County High School | Public Health or Welfare | 645 Chenault Dr, Owingsville, KY 40360 | 2007-03-12 |
1740312065 | Owingsville Elementary | Public Health or Welfare | 50 Chanault Drive, Owingsville, KY 40360 | 2007-03-12 |
1114059029 | Gateway District Health Department | Clinic/Center | 68 Oberline Street, Owingsville, KY 40360 | 2007-03-09 |
1710027701 | Gateway Regional Health Systems Inc | Internal Medicine | 44 Water St, Owingsville, KY 40360 | 2007-02-07 |
Find all providers in zip 40360 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376680751 | St. Claire Medical Center, Inc | Clinic/Center | 632 Slate Ave., Owingsville, KY 40360-1120 | 2007-02-01 |
1144633405 | Kentuckyone Health Medical Group, Inc. | Clinic/Center | 44 Water St, Owingsville, KY 40360-8944 | 2014-06-04 |
1659662450 | Saint Joseph Health System, Inc | Clinic/Center | 44 Water St, Owingsville, KY 40360 | 2011-04-27 |
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1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
1649881335 | Emerald Therapy Center, LLC | Clinic/Center | 111 Poplar St, Murray, KY 42071-2571 | 2020-08-14 |
1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
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1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
Find all providers with the same taxonomy |
City | OWINGSVILLE |
Zip Code | 40360 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.