NPIMap

Organization Active NPI

One Cross Community, Inc.

  • Federally Qualified Health Center (FQHC)
  • Campbellsville, KY
National Provider Identifier
1447710314
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ONE CROSS COMMUNITY, INC.
Practice address
106 Winston Way
Campbellsville, KY 42718-4953
Phone
(270) 789-0034
Fax
(270) 789-0097
NPI assigned
Mar 25, 2019
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Kimberly Rose McKennaNPI 1295810786
Title
Ceo
Phone
(270) 789-0034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

106 Winston Way
Campbellsville, KY 42718-4953

Mailing address

106 Winston Way
Campbellsville, KY 42718-4953
Phone (270) 789-0034

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230113001349 KY Part B Supplier - Clinic/Group Practice 6406182781 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
Practice locations: Campbellsville, KY; Lebanon, KY
O20250716002850 KY Part A Provider - Federally Qualified Health Center (FQHC) 6406182781 Practice locations: Campbellsville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447710314. Details of each certification follow.

Federally qualified health center certification: CCN B01182

Legal name
ONE CROSS COMMUNITY INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 17, 2025
Last certification
Jun 17, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
106 Winston Way
Campbellsville, KY 42718-4953

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

102 Winston Way
Ste 5
Campbellsvlle, KY 42718
Phone (270) 789-0034

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Curt Hill Individual Corporate DirectorVice Chair Jan 1, 2025
Operational/Managerial ControlVice Chair Jan 1, 2025
Michael S Janusky Individual Corporate DirectorTreasure Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Diane Kay Burton Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial ControlBoard Member Jan 1, 2025
Beverly J Lee Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Stephanie Turner Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Roger D Cook Individual Corporate DirectorBoard Member Feb 25, 2025
Operational/Managerial ControlBoard Member Feb 25, 2025
Janet E Metz Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial ControlBoard Member Jan 1, 2025
Leslie a Corbin Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial ControlBoard Member Jan 1, 2025
Kimberly R McKenna Individual W-2 Managing EmployeeCeo Jan 1, 2025
Operational/Managerial ControlCeo Jan 1, 2025 100%
Leslie Blevins Degrez Individual Corporate DirectorSecretary Jan 1, 2025
Operational/Managerial ControlSecretary Jan 1, 2025
Reagan Lee Wagner Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial Control Jan 1, 2025

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 12

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": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1447710314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WINSTON WAY",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427184953",
            "telephone_number": "270-789-0034",
            "fax_number": "270-789-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WINSTON WAY",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427184953",
            "telephone_number": "270-789-0034",
            "fax_number": "270-789-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE CROSS COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-789-0034"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.