Hospital of Louisa, Inc.

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

100282 Issued in KY

Legal business name

HOSPITAL OF LOUISA, INC.

Doing business as

Three Rivers Medical Center

Practice address

Highway 644
Louisa, KY 41230

Phone

(606) 638-9451

NPI assigned

Feb 3, 2006

Last updated

Aug 11, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

HOSPITAL OF LOUISA, INC.As reported in NPPES

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

Addresses

Other names 1

• Three Rivers Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356313407. Details of each certification follow.

• CCN 18S128 Hospital · Details

Hospital certification: CCN 18S128

Legal name

HOSPITAL OF LOUISA INC

Doing business as

THREE RIVERS MEDICAL CENTER

Organization structure

CorporationProprietary

Incorporated

Apr 16, 1993 in KY

Enrollment address

2485 Highway 644
Louisa, KY 41230-9242
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric unit

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Hospital of Louisa, Inc.

  dba Three Rivers Medical Center

  • General Acute Care Hospital
  • Louisa, KY
  • NPI 1063484483

  Unit of hospital

  Provider of Services

Other NPIs with the same Medicare PAC ID 2

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

• Hospital of Louisa, Inc.

  dba Three Rivers Medical Center

  • General Acute Care Hospital
  • Louisa, KY
  • NPI 1063484483

  3173561123

  Same PAC ID
• Hospital of Louisa, Inc.

  dba Three Rivers Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Louisa, KY
  • NPI 1952373276

  3173561123

  Same PAC ID

Tax ID family

Three Rivers Med Center4 organizations share this tax ID, including this one

Part of

Three Rivers Med Center

Other organizations with this tax ID 3

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

• Hospital of Louisa, Inc.

  dba Three Rivers Medical Center

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

  dba Three Rivers Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Louisa, KY
  • NPI 1952373276
  NPD tax ID
• Louisa Home Care Services LLC

  dba Three Rivers Home Care WV

  • Home Health Agency
  • Fort Gay, WV
  • NPI 1255475265
  NPD tax ID

Locations

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.

Facilities with the same owner 36

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, 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, 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, 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

  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

  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, 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, Quincy Health LLC, Quorum Health Corporation

  CMS ownership
• Three Rivers Medical Clinics Inc

  • 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

  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, 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, 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, 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, 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, Quincy Health LLC, Quorum Health Corporation

  CMS ownership

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.

• Hospital of Louisa, Inc.

  dba Three Rivers Medical Center

  • General Acute Care Hospital
  • Louisa, KY
  • NPI 1063484483
  NPPES parent name

Practitioners 3

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.

• Rhett Michael Donathan, DO

  • Psychiatry Physician
  • Ashland, KY
  • NPI 1477050961
  NPD (past)
• Babatunde O Sokan, MD

  • Family Medicine Physician
  • Paris, KY
  • NPI 1346225703
  NPD (past)
• Jared Charles Pugh, DO

  • Psychiatry Physician
  • Saginaw, MI
  • NPI 1063038578
  NPD (past)

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": [],
    "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"
        }
    ]
}

• Joey Randall Hopkins, PSS
• Julene Hopper
• Sarah Horn
• Joel Hoskins, PSS
• Hospital of Louisa, Inc. (Three Rivers Medical Center)
• Hospital of Louisa, Inc. (Three Rivers Medical Center)
• Oma Hounshell
• Susan Laverne Houston
• Hazel Michelle Howard
• Jennifer Lynn Howard

• Psychiatric Hospital Unit in Louisa, KY
• Providers in Louisa, KY by specialty
• Psychiatric Hospital Unit in Kentucky

• 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.

Verify at the official NPI Registry.