Three Rivers Medical Clinics Inc

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

Last updated

Sep 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura J Fey

Title

Authorized Official

Phone

(615) 221-3641

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285301952. Details of each certification follow.

• CCN B03890 Rural health clinic · Active · Details

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

Other NPIs with the same Medicare PAC ID 4

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

• Three Rivers Medical Clinics Inc

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1376210047

  7315845047

  Same PAC ID
• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice - Riverview

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1437824406

  7315845047

  Same PAC ID
• Three Rivers Medical Clinics Inc

  • Internal Medicine Physician
  • Louisa, KY
  • NPI 1568567345

  7315845047

  Same PAC ID
• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice - Inez

  • Rural Health Clinic/Center
  • Inez, KY
  • NPI 1699038737

  7315845047

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Three Rivers Medical Clinic7 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.

• Three Rivers Medical Clinics Inc

  • Internal Medicine Physician
  • Louisa, KY
  • NPI 1225796584
  NPD tax ID
• Three Rivers Medical Clinics Inc

  • Internal Medicine Physician
  • Louisa, KY
  • NPI 1235897596
  NPD tax ID
• Three Rivers Medical Clinics Inc

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1376210047
  NPD tax ID
• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice - Riverview

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1437824406
  NPD tax ID
• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice - Inez

  • Rural Health Clinic/Center
  • Inez, KY
  • NPI 1699038737
  NPD tax ID
• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice-Crum

  • Rural Health Clinic/Center
  • Kermit, WV
  • NPI 1669882916
  NPD tax ID

Locations

All disclosed owners & managing parties 11

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

Facilities with the same owner 32

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

• Hospital of Louisa, Inc.

  dba Three Rivers Medical Center

  • 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.

  dba Three Rivers Medical Center

  • 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.

  dba Three Rivers Medical Center

  • 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

  dba Beattyville Family Medical Clinic

  • 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

  dba Kentucky River Medical Center

  • 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

  dba Kentucky River Medical Center

  • 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

  dba Kentucky River Clinics

  • 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

  dba Three Rivers Family Practice - Riverview

  • 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

  dba Three Rivers Family Practice - Inez

  • 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

  dba Big Bend Regional Medical Center

  • 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

Practitioners 2

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.

• Michael E. Brock, D.O.

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1639241102
  NPD (past)
• Brian E Bower, MD

  • Obstetrics & Gynecology Physician
  • Barboursville, WV
  • NPI 1558341453
  NPD (past)

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

{
    "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": []
}

• Lisa Rene Thompson
• Monica Thompson
• Christopher Thornsberry, LPCA
• Three Rivers Medical Clinics Inc
• Three Rivers Medical Clinics Inc
• Three Rivers Medical Clinics Inc
• Three Rivers Medical Clinics Inc (Three Rivers Family Practice - Riverview)
• Three Rivers Medical Clinics Inc
• Jarrel Tibbs
• Timothy M Wheeler MD PSC

• Rural Health Clinic/Center in Louisa, KY
• Providers in Louisa, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.