Three Rivers Medical Clinics Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

THREE RIVERS MEDICAL CLINICS INC

Doing business as

Three Rivers Family Practice - Inez

Practice address

94 Boardwalk
Suite 1
Inez, KY 41224-7003

Phone

(606) 298-2660

Fax

(606) 298-2662

NPI assigned

Jun 22, 2012

Last updated

Jul 7, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

THREE RIVERS MEDICAL CLINICS INCAs reported in NPPES

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

Authorized official

Name

Laura J Fey

Title

Sr. Director Physician Rev Cycle

Phone

(615) 221-3641

Specialties & licenses 1

Addresses

Other names 1

• Three Rivers Family Practice - Inez 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 1699038737. Details of each certification follow.

• CCN 188943 Rural health clinic · Active · Details

Rural health clinic certification: CCN 188943

Legal name

THREE RIVERS MEDICAL CLINICS INC

Doing business as

THREE RIVERS FAMILY PRACTICE-INEZ

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Dec 10, 2014

Last certification

Dec 10, 2014

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

Jun 15, 1995 in KY

Enrollment address

94 Boardwalk 1
Inez, KY 41224-7003

Other NPIs with the same Medicare PAC ID 4

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

• Three Rivers Medical Clinics Inc

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1285301952

  7315845047

  Same PAC ID
• Three Rivers Medical Clinics Inc

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1376210047

  7315845047

  Same PAC ID
• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice - Riverview

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1437824406

  7315845047

  Same PAC ID
• Three Rivers Medical Clinics Inc

  • Internal Medicine Physician
  • Louisa, KY
  • NPI 1568567345

  7315845047

  Same PAC ID

Tax ID family

Three Rivers Medical CL7 organizations share this tax ID, including this one

Part of

Three Rivers Medical CL

Other organizations with this tax ID 6

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

• Three Rivers Medical Clinics Inc

  • Internal Medicine Physician
  • Louisa, KY
  • NPI 1225796584
  NPD tax ID
• Three Rivers Medical Clinics Inc

  • Internal Medicine Physician
  • Louisa, KY
  • NPI 1235897596
  NPD tax ID
• Three Rivers Medical Clinics Inc

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1285301952
  NPD tax ID
• Three Rivers Medical Clinics Inc

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1376210047
  NPD tax ID
• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice - Riverview

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1437824406
  NPD tax ID
• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice-Crum

  • Rural Health Clinic/Center
  • Kermit, WV
  • NPI 1669882916
  NPD tax ID

All disclosed owners & managing parties 12

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 32

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, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

  CMS ownership
• Hospital of Louisa, Inc.

  dba Three Rivers Medical Center

  • Psychiatric Hospital Unit
  • Louisa, KY
  • NPI 1356313407

  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, Gtam Onshore Blocker 2 LLC, 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, Gtam Onshore Blocker 2 LLC, 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

  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

  • 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, Gtam Onshore Blocker 2 LLC, 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, Gtam Onshore Blocker 2 LLC, 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, Gtam Onshore Blocker 2 LLC, 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, Gtam Onshore Blocker 2 LLC, 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, Gtam Onshore Blocker 2 LLC, 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, Gtam Onshore Blocker 2 LLC, 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, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

  CMS ownership

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1699038737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 MALLORY LN STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272895",
            "telephone_number": "152-221-1400",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BOARDWALK",
            "address_2": "SUITE 1",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412247003",
            "telephone_number": "606-298-2660",
            "fax_number": "606-298-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS MEDICAL CLINICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE RIVERS MEDICAL CLINICS INC",
        "enumeration_date": "2012-06-22",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SR. DIRECTOR PHYSICIAN REV CYCLE",
        "authorized_official_telephone_number": "615-221-3641"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Family Practice - Inez",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Three Rivers Family Practice - Inez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tricia Slone
• Lila Grace Spaulding, PTA
• Lisa Dawn Spence, APRN
• Kayla Gail Storms
• Melinda Thomas
• Walgreen Co (Rite Aid #16711)
• Paul G Ward
• Wells Pharmacy LLC (Rite-Value Pharmacy)
• Clayton P Wells, PHARMD
• Kristen Whitson

• Rural Health Clinic/Center in Inez, KY
• Providers in Inez, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.