NPIMap

Organization Active NPI

St. Claire Medical Center, Inc

  • Rural Health Clinic/Center
  • Owingsville, KY
National Provider Identifier
1376680751
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
900056 Issued in KY
Legal business name
ST. CLAIRE MEDICAL CENTER, INC
Practice address
632 Slate Ave.
Owingsville, KY 40360-1120
Phone
(606) 674-6386
Fax
(606) 674-3096
NPI assigned
Feb 1, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Donald H Lloyd II
Title
President - Ceo
Phone
(606) 783-6502

Owners & managing parties with NPI records 4

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

Other NPIs with the same Medicare PAC ID 12

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

Practitioners 181

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 181

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
18D0322544St Claire Family Medicine- Owingsville632 Slate Avenue, Owingsville, KY 40360Certificate of waiverMay 7, 2027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080108000629 KY Part A Provider - Rural Health Clinic 4486559085 Practice locations: Owingsville, KY

Rural health clinic certification: CCN 183416

Legal name
ST. CLAIRE MEDICAL CENTER INC
Doing business as
ST. CLAIRE REGIONAL FAMILY MEDICINE-OWINGSVILLE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 25, 1996
Last certification
Jan 3, 2013
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1963 in KY
Enrollment address
632 Slate Ave
Owingsville, KY 40360-2206
Related CCNs
180018

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

All disclosed owners & managing parties 15

Medicare enrollment files

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 Aug 21, 2014
Marie Dennison Individual Corporate DirectorBoard Member Aug 1, 2021
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 DirectorPresident, SCCC May 22, 2013
William Redwine Individual Corporate DirectorBoard Member Oct 1, 2017
Margaret Mouch Individual Corporate DirectorBoard Member Aug 1, 2019
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

National Provider Directory

National Provider Directory
Tax ID family
St Claire Counseling33 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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 900056 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

632 Slate Ave.
Owingsville, KY 40360-1120

Mailing address

PO Box 968
Morehead, KY 40351-0968
Phone (606) 783-6521

Other names 1

NPPES NPI Registry
  • St. Claire Regional Family Medicine-Owingsville Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2023.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1376680751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403510968",
            "telephone_number": "606-783-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 SLATE AVE.",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "403601120",
            "telephone_number": "606-674-6386",
            "fax_number": "606-674-3096"
        }
    ],
    "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": "900056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Claire Regional Family Medicine-Owingsville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Claire Regional Family Medicine-Owingsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owingsville, KY

Sources for this page

Verify at the official NPI Registry.