NPIMap

Organization Active NPI

Sterling Health Solutions Inc

Doing business as Sterling Health Care - Indian Mound

  • Federally Qualified Health Center (FQHC)
  • Mt Sterling, KY
National Provider Identifier
1083177067
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
STERLING HEALTH SOLUTIONS INC
Doing business as
Sterling Health Care - Indian Mound
Practice address
103 Commonwealth Dr
Mount Sterling, KY 40353-9644
Phone
(859) 404-7686
Fax
(859) 274-4312
NPI assigned
Apr 8, 2019
Last updated
Jun 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

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

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 names 1

  • Sterling Health Care - Indian Mound Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083177067. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jun 25, 2009 in KY
Enrollment address
103 Commonwealth Dr
Mount Sterling, KY 40353-9644

Other NPIs with the same Medicare PAC ID 11

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0962594Sterling Health Solutions Inc103 Commonwealth Drive, Mount Sterling, KY 40353Certificate of waiverApr 24, 2028

National Provider Directory

National Provider Directory
Tax ID family
Sterling Health Solutions Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Ownership & related parties

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 OfficerVice-President Jan 23, 2018
Corporate DirectorBoard Member Jun 1, 2015
Cheryl Mahler Individual Corporate OfficerSecretary Jan 21, 2020
Corporate DirectorBoard Member Jan 1, 2015
Donna Raper Individual Corporate OfficerCao May 1, 2023
W-2 Managing Employee Sep 26, 2022
Gay Hudson Individual Corporate DirectorBoard Member Jan 23, 2018
Dallas Pelfrey Individual Corporate DirectorBoard Member Mar 15, 2022
Alan Shepherd Individual Corporate DirectorBoard Member Nov 17, 2020
Roger Riggs Individual Corporate OfficerPresident Jan 21, 2020
Corporate DirectorBoard Member Jan 23, 2018
Jan M Chamness Individual Corporate DirectorBoard Member Mar 19, 2019
Lisa Peck Individual Corporate DirectorBoard Member Mar 19, 2019
Tina Bryant Individual Corporate OfficerCeo Jul 1, 2020
W-2 Managing Employee Oct 1, 2012
Lindsay Rice Individual Corporate DirectorBoard Member Apr 20, 2021
Florence Mahoney Individual Corporate OfficerCfo Jan 1, 2022
W-2 Managing EmployeeCfo Sep 9, 2021
Richard a Hall Individual Corporate OfficerCmo Oct 1, 2012
W-2 Managing EmployeeCmo Oct 1, 2012
Sandra Romenesk0 Individual Corporate DirectorBoard Member Nov 17, 2020
Sally W Purvis Individual Corporate OfficerTreasurer Oct 8, 2012
Corporate DirectorBoard Member Oct 8, 2012
Itala Arias Individual Corporate DirectorBoard Member Aug 17, 2023
Pamela B Shouse Individual Corporate DirectorBoard Member Jul 1, 2012
Mindee Hudson Individual Corporate OfficerCoo Jun 1, 2019
W-2 Managing Employee Feb 17, 2017

Owners & managing parties with NPI records 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1083177067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531348",
            "telephone_number": "859-404-7686",
            "fax_number": "859-274-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COMMONWEALTH DR",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403539644",
            "telephone_number": "859-404-7686",
            "fax_number": "859-274-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING HEALTH SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "859-404-7686"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Health Care - Indian Mound",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Sterling, KY

Sources for this page

Verify at the official NPI Registry.