Active NPI
Hospital of Louisa, Inc.
- Psychiatric Hospital Unit
- Louisa, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 100282
- Legal business name
- HOSPITAL OF LOUISA, INC.
- Practice address
- Highway 644
Louisa, KY 41230 - Phone
- (606) 638-9451
- NPI assigned
- Feb 3, 2006
- Organization subpart
- Yes
- Parent organization
- HOSPITAL OF LOUISA, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Michael Cooper
- Title
- SVP Finance Op/Authorized Official
- Phone
- (615) 221-3840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 100282 | KY | Primary |
Addresses
Primary practice location
Highway 644
Louisa, KY 41230
Mailing address
PO Box 60990
Saint Louis, MO 63160-0990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027000 | Medicaid | WV | |
| 1022292 | Medicaid | KY |
Other names 1
- Three Rivers Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100910000433 | KY | Part A Provider - Hospital | 3173561123 | Practice locations: Louisa, KY |
Hospital certification: CCN 18S128
- Legal name
- HOSPITAL OF LOUISA INC
- Doing business as
- THREE RIVERS MEDICAL CENTER
- Organization structure
- Corporation
- Incorporated
- Apr 16, 1993 in KY
- Enrollment address
- 2485 Highway 644
Louisa, KY 41230-9242 - Hospital subgroups
- Psychiatric unit
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
All disclosed owners & managing parties 19
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Davidson Kempner Distressed Opportunities International Cayman | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 11.6% |
| Henry Kunath | Corporate Officer | Sep 6, 2023 | |
| Corporate Director | Sep 6, 2023 | ||
| DK Distressed Opportunities Int LTD | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 13.2% |
| DK Ldoi IV Aggregate Holdco LP | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 11.8% |
| Davidson Kempner Long-Term Distressed Opportunities Fund IV L | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 6.1% |
| Quorum Health Corporation | 5% Or Greater Direct Ownership Interest | Apr 29, 2016 | 100% |
| DK Quincy Investor BT I LLC | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 7.9% |
| Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 11.8% |
| Goldentree Distressed Onshore Master Fund III LP | 5% Or Greater Indirect Ownership Interest | Aug 5, 2020 | 6.8% |
| DK Quincy Investor BT II LLC | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 7.9% |
| Laura Fey | Corporate Director | Aug 27, 2018 | |
| Goldentree Select Offshore Intermediate Fund LP | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 5.44% |
| Goldentree Distressed Master Fund III LTD | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 11% |
| Quincy Health LLC | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Steven W Frantz | Corporate Officer | Aug 10, 2022 | |
| Corporate Director | Aug 10, 2022 | ||
| Julie Manas | Corporate Officer | Aug 10, 2022 | |
| Corporate Director | Aug 10, 2022 | ||
| Davidson Kempner Distressed Opportunities Fund LP | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 7.8% |
| Greg Kiser | W-2 Managing Employee | Jan 9, 2015 | |
| Donald Esposito | Corporate Officer | Sep 16, 2021 | |
| Corporate Director | Sep 16, 2021 |
National Provider Directory
National Provider Directory- Tax ID family
- Hospital of Louisa Inc
- Part of
- Hospital of Louisa Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Louisa, KY
- NPI 1063484483
-
- Medicare Defined Swing Bed Hospital Unit
- Louisa, KY
- NPI 1952373276
-
- Home Health Agency
- Fort Gay, WV
- NPI 1255475265
Locations
306 Commerce Dr
Ste 600
Louisa, KY 41230
Phone (606) 638-1323
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Louisa, KY
- NPI 1063484483
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Medicare Defined Swing Bed Hospital Unit
- Louisa, KY
- NPI 1952373276
3173561123
Facilities with the same owner 36
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- 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, Quincy Health LLC, Quorum Health Corporation
-
- 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, Quincy Health LLC, Quorum Health 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, Quincy Health LLC, Quorum Health Corporation
-
- Medicare Defined Swing Bed Hospital Unit
- Jackson, KY
- NPI 1295985596
Davidson Kempner Distressed Opportunities Fund LP, Davidson Kempner Distressed Opportunities International Cayman, Davidson Kempner Long-Term Distressed Opportunities Fund IV L, Davidson Kempner Long-Term Distressed Opps Intl IV Aiv LP, DK Distressed
-
- 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, Quincy Health LLC, Quorum Health 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, Quincy Health LLC, Quorum Health Corporation
-
- Rural Health Clinic/Center
- Louisa, KY
- NPI 1285301952
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
-
- 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, Quincy Health LLC, Quorum Health Corporation
-
- 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, Quincy Health LLC, Quorum Health Corporation
-
- 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, Quincy Health LLC, Quorum Health 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, Quincy Health LLC, Quorum Health 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, Quincy Health LLC, Quorum Health Corporation
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Ashland, KY
- NPI 1477050961
-
- Family Medicine Physician
- Paris, KY
- NPI 1346225703
-
- Psychiatry Physician
- Saginaw, MI
- NPI 1063038578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597104000000",
"number": "1356313407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60990",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631600990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HIGHWAY 644",
"city": "LOUISA",
"state": "KY",
"postal_code": "41230",
"telephone_number": "606-638-9451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL OF LOUISA, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOSPITAL OF LOUISA, INC.",
"enumeration_date": "2006-02-03",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "SVP FINANCE OP/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-221-3840"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "KY",
"license": "100282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022292",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Three Rivers Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Three Rivers Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.