NPIMap

Organization Active NPI

Rockcastle County Hospital, Inc.

  • Rural Health Clinic/Center
  • Mount Vernon, KY
National Provider Identifier
1396263000
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
100960 Issued in KY
Legal business name
ROCKCASTLE COUNTY HOSPITAL, INC.
Practice address
1770 Lake Cumberland Rd
Mount Vernon, KY 40456-8431
Phone
(606) 256-2195
NPI assigned
Sep 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Christopher N. Bastin
Title
Cfo
Phone
(606) 256-2195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 100960 KY Primary

Addresses

Primary practice location

1770 Lake Cumberland Rd
Mount Vernon, KY 40456-8431

Mailing address

1770 Lake Cumberland Rd
Mount Vernon, KY 40456-8431
Phone (606) 256-2195

Other names 2

  • Rockcastle Quick Care Clinic Doing business as
  • Rockcastle Regional Quick Care Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180307002812 KY Part A Provider - Rural Health Clinic 6103727433 Practice locations: Mount Vernon, KY

Rural health clinic certification: CCN 188503

Legal name
ROCKCASTLE COUNTY HOSPITAL, INC.
Doing business as
ROCKCASTLE REGIONAL QUICK CARE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 7, 2018
Last certification
Mar 7, 2018
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
May 1, 1957 in KY
Enrollment address
1770 Lake Cumberland Rd
Mount Vernon, KY 40456-8431
Related CCNs
180115

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Rockcastle Hospital Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Bige Towery Individual Corporate DirectorBoard Vice Chairman Jul 12, 1983
Joseph Lambert Individual Corporate DirectorBoard Chairman Nov 1, 1987
Stephen Estes Individual Corporate OfficerPresident/Ceo Jul 1, 2002
Christopher Bastin Individual Corporate OfficerCfo May 27, 2014
Jeffrey Burdette Individual Corporate DirectorBoard Member Jun 30, 2009
Brandy Bullock Individual W-2 Managing EmployeeAdministrator Mar 5, 2018
Debra Lambert Individual Corporate DirectorBoard Member Nov 27, 2001
Billie Tankersley Individual Operational/Managerial ControlProvider Enrollment Clerk Mar 5, 2018

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lifeline Rockcastle Home HealthMt Vernon, KY, CCN 187172 Home health agency 5% Or Greater Direct Ownership Interest (25%) Nov 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners 38

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

View all 38

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
18D2145075Rockcastle Regional Quick Care Clinic1770 Lake Cumberland Road, Mount Vernon, KY 40456Certificate of waiverMar 25, 2027

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396263000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 LAKE CUMBERLAND RD",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404568431",
            "telephone_number": "606-256-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 LAKE CUMBERLAND RD",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404568431",
            "telephone_number": "606-256-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKCASTLE COUNTY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BASTIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "606-256-2195"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": "100960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockcastle Quick Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rockcastle Regional Quick Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, KY

Sources for this page

Verify at the official NPI Registry.