NPIMap

Organization Active NPI

Three Rivers Medical Clinics Inc

  • Rural Health Clinic/Center
  • Louisa, KY
National Provider Identifier
1285301952
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
THREE RIVERS MEDICAL CLINICS INC
Practice address
306 Commerce Dr Ste 700
Louisa, KY 41230-5065
Phone
(606) 638-7400
Fax
(606) 638-0468
NPI assigned
Aug 30, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Laura J Fey
Title
Authorized Official
Phone
(615) 221-3641

Other NPIs with the same Medicare PAC ID 4

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

Facilities with the same owner 32

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

  • Hospital of Louisa, Inc.
    • General Acute Care Hospital
    • Louisa, KY
    • NPI 1063484483

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Hospital of Louisa, Inc.
    • Psychiatric Hospital Unit
    • Louisa, KY
    • NPI 1356313407

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Hospital of Louisa, Inc.
    • Medicare Defined Swing Bed Hospital Unit
    • Louisa, KY
    • NPI 1952373276

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Jackson Hospital Corporation
    • Rural Health Clinic/Center
    • Beattyville, KY
    • NPI 1083950414

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Jackson Hospital Corporation
    • Medicare Defined Swing Bed Hospital Unit
    • Jackson, KY
    • NPI 1295985596

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Jackson Hospital Corporation
    • Critical Access Hospital
    • Jackson, KY
    • NPI 1346247962

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Jackson Hospital Corporation
    • Rural Health Clinic/Center
    • Jackson, KY
    • NPI 1912518978

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Three Rivers Medical Clinics Inc
    • Rural Health Clinic/Center
    • Louisa, KY
    • NPI 1376210047

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Three Rivers Medical Clinics Inc
    • Rural Health Clinic/Center
    • Louisa, KY
    • NPI 1437824406

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Three Rivers Medical Clinics Inc
    • Rural Health Clinic/Center
    • Inez, KY
    • NPI 1699038737

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Bend Hospital Corporation
    • Rural Health Clinic/Center
    • Alpine, TX
    • NPI 1275988669

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Bend Hospital Corporation
    • Critical Access Hospital
    • Alpine, TX
    • NPI 1356312243

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
View all 32

Practitioners 30

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

View all 30

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
18D2008300Three Rivers Medical Clinic Inc306 Commerce Drive, Suite 700, Louisa, KY 41230Certificate of waiverJun 8, 2028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211021002414 KY Part A Provider - Rural Health Clinic 7315845047 Practice locations: Louisa, KY

Rural health clinic certification: CCN B03890

Legal name
THREE RIVERS MEDICAL CLINICS INC
Doing business as
THREE RIVERS IMMEDIATE CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 26, 2022
Last certification
May 26, 2022
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Jun 15, 1995 in KS
Enrollment address
306 Commerce Dr
Ste 700
Louisa, KY 41230-5065

All disclosed owners & managing parties 11

Medicare enrollment files

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

NameRoleSinceShare
Henry Kunath Individual Contracted Managing Employee Sep 6, 2023
Corporate OfficerSr Vice President/Treasurer/Cfo Sep 6, 2023
Corporate DirectorSr Vice President/Treasurer/Cfo Sep 6, 2023
Christopher M Harrison Individual Corporate OfficerPresident/Ceo Apr 1, 2025
Corporate DirectorPresident/Ceo Apr 1, 2025
Quorum Health Corporation Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Direct Ownership Interest Apr 29, 2016 100%
Gtam Onshore Blocker 2 LLC Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Dec 20, 2023 19.34%
Goldentree Distressed Onshore Master Fund III LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Aug 5, 2020 6.8%
Laura Fey Individual Corporate DirectorVP of Revenue Cycle Aug 27, 2018
Goldentree Select Offshore Intermediate Fund LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 5.44%
Goldentree Distressed Master Fund III LTD Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 11%
Quincy Health LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Steven W Frantz Individual Corporate OfficerVice President Aug 10, 2022
Corporate DirectorVice President Aug 10, 2022
Donald Esposito Individual Corporate OfficerSecreatary Sep 16, 2021
Corporate DirectorSecreatary Sep 16, 2021

National Provider Directory

National Provider Directory
Tax ID family
CHS Three Rivers Billin7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2483 Highway 644
Ste 201
Louisa, KY 41230
Phone (606) 638-7399

306 Commerce Dr
Louisa, KY 41230

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

306 Commerce Dr Ste 700
Louisa, KY 41230-5065

Mailing address

PO Box 5009
Brentwood, TN 37024-5009
Phone (615) 221-1400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2021.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1285301952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5009",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370245009",
            "telephone_number": "615-221-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 COMMERCE DR STE 700",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412305065",
            "telephone_number": "606-638-7400",
            "fax_number": "606-638-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS MEDICAL CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3641"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.