NPIMap

Organization Active NPI

Bardstown Total Health Care Corp

  • Rural Health Clinic/Center
  • Bardstown, KY
National Provider Identifier
1316586571
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BARDSTOWN TOTAL HEALTH CARE CORP
Practice address
202 S 4TH St
Bardstown, KY 40004-1008
Phone
(606) 524-1881
NPI assigned
Jan 4, 2020
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Darrell Spear
Title
President
Phone
(502) 348-5443

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

202 S 4TH St
Bardstown, KY 40004-1008

Mailing address

202 S 4TH St
Bardstown, KY 40004-1008

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200318001227 KY Part B Supplier - Clinic/Group Practice 0446688832 Receives reassigned benefits from 6 practitioners
Practice locations: Bardstown, KY
O20200319000433 KY Part A Provider - Rural Health Clinic 0446688832 Practice locations: Bardstown, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316586571. Details of each certification follow.

Rural health clinic certification: CCN B03819

Legal name
BARDSTOWN TOTAL HEALTH CARE CORP
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 9, 2020
Last certification
Jun 9, 2020
Ownership / control type
1A
Organization structure
CorporationProprietary
Incorporated
Dec 13, 2019 in KY
Enrollment address
202 S 4TH St
Bardstown, KY 40004-1008

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
18D2177149Bardstown Total Health Care Corp202 S 4TH St, Bardstown, KY 40004Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Charles E Copeland Individual 5% Or Greater Direct Ownership InterestSecretary Dec 13, 2019 33.3%
W-2 Managing EmployeeSecretary Dec 13, 2019 33.3%
Darrell R Spear Individual 5% Or Greater Direct Ownership InterestPresident - Owner Dec 13, 2019 66.6%
Corporate OfficerPresident - Owner Dec 13, 2019 66.6%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1316586571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S 4TH ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 4TH ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041008",
            "telephone_number": "606-524-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDSTOWN TOTAL HEALTH CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-04",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "SPEAR",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-348-5443"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.