NPIMap

Organization Active NPI

St. Claire Medical Center, Inc

Doing business as St. Claire Regional Family Medicine-Olive Hill

  • Rural Health Clinic/Center
  • Olive Hill, KY
National Provider Identifier
1285771667
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
900057 Issued in KY
Legal business name
ST. CLAIRE MEDICAL CENTER, INC
Doing business as
St. Claire Regional Family Medicine-Olive Hill
Practice address
155 Bricklayer Street
Olive Hill, KY 41164-1268
Phone
(606) 286-4152
Fax
(606) 286-2385
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 900057 KY Primary

Addresses

Primary practice location

155 Bricklayer Street
Olive Hill, KY 41164-1268

Mailing address

PO Box 1268
Olive Hill, KY 41164-1268
Phone (606) 286-4152

Other names 1

  • St. Claire Regional Family Medicine-Olive Hill Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100722000369 KY Part A Provider - Rural Health Clinic 4486559085 Practice locations: Olive Hill, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285771667. Details of each certification follow.

Rural health clinic certification: CCN 183417

Legal name
ST. CLAIRE MEDICAL CENTER INC
Doing business as
ST. CLAIRE REGIONAL FAMILY MEDICINE-OLIVE HILL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 24, 1996
Last certification
Sep 11, 2013
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1963 in KY
Enrollment address
155 Bricklayer St
Olive Hill, KY 41164
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
18D0324816Family Medicine Olive Hill155 Bricklayer Street, Olive Hill, KY 41164Certificate of waiverOct 27, 2026

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

Locations

234 Medical Cir
Morehead, KY 40351
Phone (606) 784-6641

Ownership & related parties

All disclosed owners & managing parties 16

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
Marla Monahan Individual Corporate DirectorChairman Jul 22, 2010
Marie Dennison Individual Corporate DirectorBoard Member Aug 1, 2020
Dan Markwell Individual Corporate DirectorVice Chair/Board Member May 24, 2020
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
Wendell McClurg Individual Corporate OfficerTreasurer / Cfo Oct 1, 2017
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 Aug 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.

Practitioners & affiliated clinicians

Practitioners 29

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 29

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": "1285771667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411641268",
            "telephone_number": "606-286-4152",
            "fax_number": "606-286-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BRICKLAYER STREET",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411641268",
            "telephone_number": "606-286-4152",
            "fax_number": "606-286-2385"
        }
    ],
    "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": "900057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Claire Regional Family Medicine-Olive Hill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Claire Regional Family Medicine-Olive Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olive Hill, KY

Sources for this page

Verify at the official NPI Registry.