Sterling Health Solutions Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Mount Sterling, KY

NPI 1083177067 · NPPES record last updated Jun 26, 2019

Key facts

NPI
1083177067
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
STERLING HEALTH SOLUTIONS INC
Practice address
103 Commonwealth Dr
Mount Sterling, KY 40353-9644
Phone
(859) 404-7686
Fax
(859) 274-4312
NPI assigned
Apr 8, 2019
Organization subpart
No

Authorized official

Name
Alex Conrad
Title
Ceo/Executive Director
Phone
(859) 404-7686

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 59

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0962594Sterling Health Solutions Inc
103 Commonwealth Drive, Mount Sterling, KY 40353
Certificate of waiverApr 24, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Federally qualified health center certification: CCN 181140

Legal name
STERLING HEALTH SOLUTIONS INC
Doing business as
STERLING CROSSROADS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 17, 2019
Last certification
May 17, 2019
Ownership / control type
For profit – partnership
Organization structure
Corporation · Non-profit
Incorporated
Jun 25, 2009 in KY
Enrollment address
103 Commonwealth Dr
Mount Sterling, KY 40353-9644

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dorothy Clemons
Individual
Corporate Officer
Vice-President
Jan 23, 2018
Corporate Director
Board Member
Jun 1, 2015
Cheryl Mahler
Individual
Corporate Officer
Secretary
Jan 21, 2020
Corporate Director
Board Member
Jan 1, 2015
Donna Raper
Individual
Corporate Officer
Cao
May 1, 2023
W-2 Managing Employee Sep 26, 2022
Gay Hudson
Individual
Corporate Director
Board Member
Jan 23, 2018
Dallas Pelfrey
Individual
Corporate Director
Board Member
Mar 15, 2022
Alan Shepherd
Individual
Corporate Director
Board Member
Nov 17, 2020
Roger Riggs
Individual
Corporate Officer
President
Jan 21, 2020
Corporate Director
Board Member
Jan 23, 2018
Jan M Chamness
Individual
Corporate Director
Board Member
Mar 19, 2019
Lisa Peck
Individual
Corporate Director
Board Member
Mar 19, 2019
Tina Bryant
Individual
Corporate Officer
Ceo
Jul 1, 2020
W-2 Managing Employee Oct 1, 2012
Lindsay Rice
Individual
Corporate Director
Board Member
Apr 20, 2021
Florence Mahoney
Individual
Corporate Officer
Cfo
Jan 1, 2022
W-2 Managing Employee
Cfo
Sep 9, 2021
Richard a Hall
Individual
Corporate Officer
Cmo
Oct 1, 2012
W-2 Managing Employee
Cmo
Oct 1, 2012
Sandra Romenesk0
Individual
Corporate Director
Board Member
Nov 17, 2020
Sally W Purvis
Individual
Corporate Officer
Treasurer
Oct 8, 2012
Corporate Director
Board Member
Oct 8, 2012
Itala Arias
Individual
Corporate Director
Board Member
Aug 17, 2023
Pamela B Shouse
Individual
Corporate Director
Board Member
Jul 1, 2012
Mindee Hudson
Individual
Corporate Officer
Coo
Jun 1, 2019
W-2 Managing Employee Feb 17, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190604001887 KY Part a Provider - Federally Qualified Health Center (FQHC) 9436301686 Practice locations: Mount Sterling, KY

National Provider Directory

Tax ID family
Sterling Health Solutions Inc (25 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

103 Commonwealth Dr
Mount Sterling, KY 40353-9644

Mailing address

236 W Main St
Mount Sterling, KY 40353-1348
Phone (859) 404-7686

Other identifiers

IdentifierTypeStateIssuer
7100233960MedicaidKY

Other names

  • Sterling Health Care - Indian Mound Doing business as

Other providers in Mount Sterling, KY

All providers in Mount Sterling, KY · Federally Qualified Health Center (FQHC) in Kentucky

Sources for this page

Verify at the official NPI Registry.