Organization Active NPI

St. Claire Medical Center, Inc

Doing business as St. Claire Regional Family Medicine-Frenchburg

  • Rural Health Clinic/Center
  • Frenchburg, KY
National Provider Identifier
1093852477
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
900059 Issued in KY
Legal business name
ST. CLAIRE MEDICAL CENTER, INC
Doing business as
St. Claire Regional Family Medicine-Frenchburg
Practice address
732 Highway 36
Frenchburg, KY 40322-8123
Phone
(606) 768-2191
Fax
(606) 768-6130
NPI assigned
Feb 1, 2007
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Donald H Lloyd II
Title
President - Ceo
Phone
(606) 783-6502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 900059 KY Primary

Addresses

Primary practice location

732 Highway 36
Frenchburg, KY 40322-8123

Mailing address

732 Highway 36
Frenchburg, KY 40322-8123
Phone (606) 768-2191

Other names 1

  • St. Claire Regional Family Medicine-Frenchburg Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100722000261 KY Part A Provider - Rural Health Clinic 4486559085 Practice locations: Frenchburg, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093852477. Details of each certification follow.

Rural health clinic certification: CCN 183418

Legal name
ST. CLAIRE MEDICAL CENTER INC
Doing business as
ST. CLAIRE REGIONAL FAMILY MEDICINE-FRENCHBURG
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 25, 1996
Last certification
Jun 22, 2017
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1963 in KY
Enrollment address
732 Highway 36
Frenchburg, KY 40322-8123
Related CCNs
180018

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 12

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
18D0322323St Claire Family Medicine- Frenchburg732 Highway 36, Frenchburg, KY 40322Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Claire Medical Center I33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Robert Albert Individual Corporate DirectorBoard Member Aug 22, 2019
John Northcutt Individual Corporate DirectorBoard Member Jul 22, 2010
Marla Monahan Individual Corporate DirectorChairman Jul 22, 2010
Marie Dennison Individual Corporate DirectorBoard Member Aug 1, 2020
Dan Markwell Individual Corporate DirectorVice Chairman/Board Member Feb 22, 2018
Donald H Lloyd Individual Corporate OfficerChief Executive Officer/President May 1, 2019
Corporate DirectorPresident/Ceo/Board Member May 1, 2019
W-2 Managing EmployeeCeo/President May 1, 2019
Shelley R Irving Individual Corporate DirectorBoard Member Aug 1, 2021
Russell C Ward Individual Corporate DirectorBoard Member Aug 1, 2021
Angela Gates Individual Corporate DirectorBoard Member Aug 1, 2020
Karen N Smith Individual Corporate DirectorBoard Member May 22, 2013
William Redwine Individual Corporate DirectorBoard Member Oct 1, 2017
Margaret Mouch Individual Corporate DirectorBoard Member Aug 1, 2021
Anthony Helton Individual Corporate DirectorBoard Member Oct 1, 2017
Aaron P Banks Individual Corporate DirectorBoard Member Aug 1, 2021
Oliver T Newcomb Individual Corporate DirectorBoard Member Aug 1, 2021

Owners & managing parties with NPI records 4

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1093852477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 HIGHWAY 36",
            "city": "FRENCHBURG",
            "state": "KY",
            "postal_code": "403228123",
            "telephone_number": "606-768-2191",
            "fax_number": "606-768-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 HIGHWAY 36",
            "city": "FRENCHBURG",
            "state": "KY",
            "postal_code": "403228123",
            "telephone_number": "606-768-2191",
            "fax_number": "606-768-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLAIRE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT - CEO",
        "authorized_official_telephone_number": "606-783-6502",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": "900059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Claire Regional Family Medicine-Frenchburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Claire Regional Family Medicine-Frenchburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frenchburg, KY

Sources for this page

Verify at the official NPI Registry.