Active NPI
Hospital of Louisa, Inc.
- General Acute Care Hospital
- Louisa, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 100282
- Legal business name
- HOSPITAL OF LOUISA, INC.
- Practice address
- 2485 Highway 644
Louisa, KY 41230-9242 - Phone
- (606) 638-9451
- Fax
- (606) 638-9494
- NPI assigned
- Feb 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Michael Cooper
- Title
- SVP Finance Op/Authorized Official
- Phone
- (615) 221-3840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 100282 | KY | Primary |
Addresses
Primary practice location
2485 Highway 644
Louisa, KY 41230-9242
Mailing address
PO Box 60990
Saint Louis, MO 63160-0990
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129 | Other | ANTHEM BC | |
| 01022292 | Medicaid | KY | |
| 030527200 | Other | BLACK LUNG | |
| 000319438 | Other | MOUNTAIN STATE BC | |
| 1457524 | Other | UMWA | |
| 1069693 | Other | PASSPORT HLTH PLAN | |
| 000000065267 | Other | BCBS | |
| 0001027000 | Medicaid | WV | |
| 0968681 | Medicaid | OH |
Other names 1
- Three Rivers Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100910000424 | KY | Part A Provider - Hospital | 3173561123 | Practice locations: Louisa, KY |
Hospital certification: CCN 180128
- Legal name
- HOSPITAL OF LOUISA INC
- Doing business as
- THREE RIVERS MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Nov 25, 1974
- Last certification
- Jan 5, 2018
- Beds
- 90
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation
- Enrollment address
- 2485 Highway 644
Louisa, KY 41230-9242 - Hospital subgroups
- Acute care
Related certifications (CCN) 2
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- Psychiatric Hospital Unit
- Louisa, KY
- NPI 1356313407
-
- Medicare Defined Swing Bed Hospital Unit
- Louisa, KY
- NPI 1952373276
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Medicare Defined Swing Bed Hospital Unit
- Louisa, KY
- NPI 1952373276
3173561123
Care Compare: Hospital
Medicare Care Compare- Listed as
- Three Rivers Medical Center
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Hospital of Louisa Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital Unit
- Louisa, KY
- NPI 1356313407
-
- Medicare Defined Swing Bed Hospital Unit
- Louisa, KY
- NPI 1952373276
-
- Home Health Agency
- Fort Gay, WV
- NPI 1255475265
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Henry Kunath | Corporate Officer | Sep 6, 2023 | |
| Corporate Director | Sep 6, 2023 | ||
| Christopher M Harrison | Corporate Officer | Apr 1, 2025 | |
| Corporate Director | Apr 1, 2025 | ||
| Quorum Health Corporation | 5% Or Greater Direct Ownership Interest | Apr 29, 2016 | 100% |
| Gtam Onshore Blocker 2 LLC | 5% Or Greater Indirect Ownership Interest | Dec 20, 2023 | 19.34% |
| Goldentree Distressed Onshore Master Fund III LP | 5% Or Greater Indirect Ownership Interest | Aug 5, 2020 | 100% |
| Laura Fey | Corporate Director | Aug 27, 2018 | |
| Goldentree Select Offshore Intermediate Fund LP | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 82.37% |
| Goldentree Distressed Master Fund III LTD | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 11% |
| Quincy Health LLC | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Steven W Frantz | Corporate Director | Aug 10, 2022 | |
| Greg Kiser | W-2 Managing Employee | Jan 9, 2015 | |
| Donald Esposito | Corporate Officer | Sep 16, 2021 | |
| Corporate Director | Sep 16, 2021 |
Facilities with the same owner 32
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Psychiatric Hospital Unit
- Louisa, KY
- NPI 1356313407
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation
-
- Medicare Defined Swing Bed Hospital Unit
- Louisa, KY
- NPI 1952373276
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
- Rural Health Clinic/Center
- Beattyville, KY
- NPI 1083950414
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
- Medicare Defined Swing Bed Hospital Unit
- Jackson, KY
- NPI 1295985596
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation
-
- Critical Access Hospital
- Jackson, KY
- NPI 1346247962
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
- Rural Health Clinic/Center
- Jackson, KY
- NPI 1912518978
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
- Rural Health Clinic/Center
- Louisa, KY
- NPI 1285301952
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
- Rural Health Clinic/Center
- Louisa, KY
- NPI 1376210047
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
- Rural Health Clinic/Center
- Louisa, KY
- NPI 1437824406
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
- Rural Health Clinic/Center
- Inez, KY
- NPI 1699038737
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
- Rural Health Clinic/Center
- Alpine, TX
- NPI 1275988669
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
- Critical Access Hospital
- Alpine, TX
- NPI 1356312243
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Psychiatric Hospital Unit
- Louisa, KY
- NPI 1356313407
-
- Medicare Defined Swing Bed Hospital Unit
- Louisa, KY
- NPI 1952373276
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Louisa, KY
- NPI 1376704528
-
- Family Medicine Physician
- Louisa, KY
- NPI 1922178052
-
- Internal Medicine Physician
- Louisa, KY
- NPI 1285859645
-
- Family Medicine Physician
- Louisa, KY
- NPI 1598859464
-
- Diagnostic Radiology Physician
- Fredericksburg, VA
- NPI 1497963011
Affiliated clinicians 95
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Ashland, KY
- NPI 1033255112
-
- Vascular & Interventional Radiology Physician
- Ashland, KY
- NPI 1689885972
Hospital
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Inez, KY
- NPI 1558328179
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597104000000",
"number": "1063484483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60990",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631600990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 HIGHWAY 644",
"city": "LOUISA",
"state": "KY",
"postal_code": "412309242",
"telephone_number": "606-638-9451",
"fax_number": "606-638-9494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL OF LOUISA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "SVP FINANCE OP/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-221-3840"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "KY",
"license": "100282",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC",
"identifier": "129",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01022292",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "030527200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BC",
"identifier": "000319438",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1457524",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HLTH PLAN",
"identifier": "1069693",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000065267",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001027000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0968681",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Three Rivers Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Three Rivers Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.