NPIMap

Organization Active NPI

St Claire Medical Center Inc

Doing business as St Claire Regional Medical Center

  • Rehabilitation Hospital Unit
  • Morehead, KY
National Provider Identifier
1780692269
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
100377 Issued in KY
Legal business name
ST CLAIRE MEDICAL CENTER INC
Doing business as
St Claire Regional Medical Center
Practice address
222 Medical Cir
Morehead, KY 40351-1179
Phone
(606) 783-6500
NPI assigned
Aug 3, 2006
Last updated
Jun 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Donald H Lloyd II
Title
Ceo/President
Phone
(606) 783-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 100377 KY Primary

Addresses

Primary practice location

222 Medical Cir
Morehead, KY 40351-1179

Mailing address

222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500

Other identifiers 1

IdentifierTypeStateIssuer
93000115MedicaidKY

Other names 1

  • St Claire Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071207000386 KY Part A Provider - Hospital 4486559085 Practice locations: Morehead, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780692269. Details of each certification follow.

Hospital certification: CCN 18T018

Legal name
ST. CLAIRE MEDICAL CENTER INC
Doing business as
ST CLAIRE REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1963 in KY
Enrollment address
222 Medical Cir
Morehead, KY 40351-1179
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 12

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
SCR Inpatient Rehab UnitCCN 18T018 · All quality measures
Ownership
Government
Certified
Jun 26, 2000

National Provider Directory

National Provider Directory
Tax ID family
St Claire Medical Center I33 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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Mark Streety Individual Corporate OfficerBoard Member Jan 2, 2019
Mary Droege Individual Corporate OfficerBoard Member Jul 1, 2011
Glen Teager Individual Corporate OfficerBoard Member Jul 1, 2011
Marla Monahan Individual Corporate OfficerBoard Member Feb 1, 2013
Jeffrey L Ellis Individual Corporate DirectorBoard Member Jul 1, 2012
Dan Markwell Individual Corporate OfficerBoard Member Jul 1, 2013
Jacob E Perry Individual Corporate OfficerBoard Member Jan 2, 2019
Donald H Lloyd Individual Corporate OfficerCeo/President May 1, 2019
Corporate DirectorPresident/Ceo May 1, 2019
Wendell McClurg Individual Corporate OfficerCfo Aug 6, 2013
W-2 Managing EmployeeCfo Aug 6, 2013
Robert Stevens Individual Corporate OfficerBoard Member Feb 1, 2011
Karen N Smith Individual Corporate OfficerBoard Member Jul 1, 2013
William Redwine Individual Corporate OfficerBoard Chairman Jan 2, 2019
Anthony Helton Individual Corporate OfficerVice Chairman Aug 1, 2017
Oliver Thomas Newcomb Individual Corporate DirectorBoard Member Jul 1, 2011

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1780692269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MEDICAL CIR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511179",
            "telephone_number": "606-783-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MEDICAL CIR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511179",
            "telephone_number": "606-783-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIRE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "606-783-6500",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "KY",
            "license": "100377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93000115",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Claire Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Claire Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.