NPIMap

Organization Active NPI

Saint Joseph Health System, Inc.

Doing business as Saint Joseph Primary Care Associates Corbin - RHC

  • Rural Health Clinic/Center
  • Corbin, KY
National Provider Identifier
1285301234
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SAINT JOSEPH HEALTH SYSTEM, INC.
Doing business as
Saint Joseph Primary Care Associates Corbin - RHC
Practice address
2867 Cumberland Falls Hwy
Corbin, KY 40701-8848
Phone
(606) 523-5402
Fax
(606) 523-5257
NPI assigned
Aug 26, 2021
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Christy Spitser
Title
Market Vice President
Phone
(606) 330-6016

Specialties & licenses 1

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

Addresses

Primary practice location

2867 Cumberland Falls Hwy
Corbin, KY 40701-8848

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other names 1

  • Saint Joseph Primary Care Associates Corbin - RHC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131214000039 KY Part B Supplier - Clinic/Group Practice 4183641400 Receives reassigned benefits from 50 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Berea, KY; Corbin, KY; Lexington, KY; London, KY
O20211018002772 KY Part A Provider - Rural Health Clinic 4183641400 Practice locations: Corbin, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285301234. Details of each certification follow.

Rural health clinic certification: CCN 188545

Legal name
SAINT JOSEPH HEALTH SYSTEM INC
Doing business as
SAINT JOSEPH PRIMARY CARE ASSOCIATES CORBIN- RHC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 11, 2022
Last certification
Feb 11, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1998 in KY
Enrollment address
2867 Cumberland Falls Hwy
Corbin, KY 40701-8848
Related CCNs
180011

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

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
18D1063789Saint Joseph Primary Care Associates Corbin- RHC2867 Cumberland Falls Hwy, Corbin, KY 40701Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Joseph East24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations (25 of 39)

1500 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 330-6000

1708 Forest Dr
Ste 100
Corbin, KY 40701
Phone (606) 528-5000

1708 Forest Dr
Ste 101
Corbin, KY 40701
Phone (606) 330-6000

1708 Forest Dr
Ste 102
Corbin, KY 40701
Phone (606) 528-8144

2867 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 523-5402

101 Jb Shannon Dr
Flemingsburg, KY 41041
Phone (606) 209-0016

1 Saint Joseph Dr
Fl 5
Lexington, KY 40504
Phone (859) 313-4855

1099 Duval St
Ste 150
Lexington, KY 40515
Phone (859) 313-3554

120 N Eagle Creek Dr
Ste 103
Lexington, KY 40509
Phone (859) 967-5000

1401 Harrodsburg Rd
Ste A410
Lexington, KY 40504
Phone (859) 313-4745

1401 Harrodsburg Rd
Ste C55
Lexington, KY 40504
Phone (859) 313-1699

1401 Harrodsburg Rd
Ste C65
Lexington, KY 40504

160 N Eagle Creek Dr
Ste 100
Lexington, KY 40509
Phone (859) 967-5000

160 N Eagle Creek Dr
Ste 101
Lexington, KY 40509
Phone (859) 335-4613

160 N Eagle Creek Dr
Ste 103
Lexington, KY 40509
Phone (859) 967-5000

160 N Eagle Creek Dr
Ste 104
Lexington, KY 40509
Phone (859) 967-5000

160 N Eagle Creek Dr
Ste 105
Lexington, KY 40509
Phone (859) 967-5000

160 N Eagle Creek Dr
Ste 300
Lexington, KY 40509
Phone (859) 967-5000

160 N Eagle Creek Dr
Ste 410
Lexington, KY 40509
Phone (859) 967-5000

170 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 967-5146

211 Fountain Ct
Ste 130
Lexington, KY 40509
Phone (859) 629-7300

211 Fountain Ct
Ste 240
Lexington, KY 40509

3251 Beaumont Centre Cir
Lexington, KY 40513
Phone (859) 219-0530

3470 Blazer Pkwy
Ste 230
Lexington, KY 40509
Phone (859) 629-7110

701 Bob O Link Dr
Ste 120
Lexington, KY 40504
Phone (859) 277-3137

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Tracey Gilbert Individual Operational/Managerial Control Dec 1, 2022
Commonspirit Health Organization, Englewood, CO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 27, 2021 100%
Adeline Fehribach Individual Corporate DirectorBoard Member Jul 1, 2021
Matthew Brown Individual Corporate OfficerPresident Jul 1, 2025
Corporate DirectorBoard Member Jul 1, 2025
Jane J Chiles Individual Corporate DirectorBoard Member Aug 27, 2021
Matthew L Grimshaw Individual Corporate DirectorAdvisory Board Member (Ex Officio) Jul 1, 2025
Kentuckyone Health Inc Organization, Lexington, KY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 27, 2021 100%
Terika Richardson Mbanu Individual Corporate DirectorBoard Member Jul 1, 2025
Donald D Hearne Individual Corporate OfficerPresident Jul 1, 2025
Mary-Alicha Weldon Individual Corporate DirectorBoard Member Jul 1, 2020
Thomas Kopfensteiner Individual Corporate DirectorBoard Member Jul 1, 2025
Carmel L Jones Individual Corporate OfficerVP of Operations Aug 27, 2021
Daniel C Rodrigue Individual Corporate DirectorBoard Member Jul 1, 2020
Martha Jones Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Monica Kennison Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Granetta Blevins Individual Corporate Officer Jul 1, 2022
Winston Griffin Individual Corporate DirectorBoard Member Jul 1, 2021
Melissa Moore Murphy Individual Corporate DirectorBoard Member Jul 1, 2021
Daryl Love Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Kim Potter-Blair Individual Corporate DirectorBoard Member Jul 1, 2021

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Continuing Care Hospital IncLexington, KY, CCN 182002 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 30, 1998
CHI Saint Joseph BereaBerea, KY, CCN 181329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
CHI Saint Joseph LondonLondon, KY, CCN 180011 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2008
CHI Saint Joseph Berea NFBerea, KY, CCN 18Z329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 108

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 108

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1285301234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2867 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018848",
            "telephone_number": "606-523-5402",
            "fax_number": "606-523-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "SPITSER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MARKET VICE PRESIDENT",
        "authorized_official_telephone_number": "606-330-6016"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Joseph Primary Care Associates Corbin - RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.