NPIMap

Organization Active NPI

St. Claire Medical Center, Inc.

  • Community Based Hospice Care Agency
  • Morehead, KY
National Provider Identifier
1194765792
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
400008 Issued in KY
Legal business name
ST. CLAIRE MEDICAL CENTER, INC.
Practice address
201 Lyons Ave
Morehead, KY 40351-1143
Phone
(606) 784-6086
Fax
(606) 783-6906
NPI assigned
Jun 8, 2006
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
Mr. Donald H Lloyd II
Title
President/Ceo
Phone
(606) 783-6502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 400008 KY Primary

Addresses

Primary practice location

201 Lyons Ave
Morehead, KY 40351-1143

Mailing address

201 Lyons Ave
Morehead, KY 40351-1143
Phone (606) 783-6308

Other identifiers 3

IdentifierTypeStateIssuer
000000327680OtherKYBCBS
44103018MedicaidKY
000000054614OtherKYBCBS

Other names 2

  • St. Claire Home Care/Hospice Doing business as
  • St. Claire HomeCare/Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120223000813 KY Part A Provider - Hospice 4486559085 Practice locations: Morehead, KY

Hospice certification: CCN 181514

Legal name
ST. CLAIRE MEDICAL CENTER INC
Doing business as
ST CLAIRE MEDICAL CENTER INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 30, 1988
Last certification
May 28, 2015
Ownership / control type
Non-Profit - Church
Organization structure
CorporationNon-profit
Incorporated
Aug 6, 1963 in KY
Enrollment address
201 Lyons Ave
Morehead, KY 40351-1143

Other NPIs with the same Medicare PAC ID 12

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

Care Compare: Hospice

Medicare Care Compare
Listed as
St Claire Hospice/Palliative CareCCN 181514
Ownership
Non-Profit
Certified
Sep 30, 1988
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
St Claire Counseling33 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

Locations

304 W 2nd St
Morehead, KY 40351
Phone (606) 783-6815

Ownership & related parties

All disclosed owners & managing parties 17

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 Aug 1, 2021
Phillip B Baker Individual W-2 Managing EmployeeMD; Apr 1, 2024
Marla Monahan Individual Corporate DirectorChairman Jan 12, 2012
Marie Dennison Individual Corporate DirectorBoard Member Aug 1, 2020
Dan Markwell Individual Corporate DirectorVice Chairman Jan 2, 2018
Donald H Lloyd Individual Corporate OfficerPresident/Ceo May 1, 2019
Wendell McClurg Individual Corporate OfficerCfo Oct 1, 2016
W-2 Managing EmployeeCfo Oct 1, 2016
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 MBR Jul 1, 2013
William Redwine Individual Corporate DirectorBoard MBR Jul 1, 2016
Margaret Mouch Individual Corporate DirectorBoard Member Aug 1, 2021
Anthony Helton Individual Corporate DirectorBoard MBR Jul 1, 2015
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 5

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1194765792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511143",
            "telephone_number": "606-783-6308",
            "fax_number": "606-783-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511143",
            "telephone_number": "606-784-6086",
            "fax_number": "606-783-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLAIRE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "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_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "KY",
            "license": "400008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000327680",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44103018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000054614",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Claire Home Care/Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Claire HomeCare/Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.