Organization Active NPI

Kentucky Hospital, LLC

Doing business as Clark Regional Medical Center

  • General Acute Care Hospital
  • Winchester, KY
National Provider Identifier
1811213994
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
KENTUCKY HOSPITAL, LLC
Doing business as
Clark Regional Medical Center
Practice address
175 Hospital Dr
Winchester, KY 40391-9591
Phone
(859) 745-3500
Fax
(859) 745-3450
NPI assigned
Apr 14, 2010
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

175 Hospital Dr
Winchester, KY 40391-9591

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Clark Regional Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clark@yourcarecommunity.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101110000237 KY Part A Provider - Hospital 4688614290 Practice locations: Winchester, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811213994. Details of each certification follow.

Hospital certification: CCN 180092

Legal name
KENTUCKY HOSPITAL, LLC
Doing business as
CLARK REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 12, 2012
Beds
69
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Feb 16, 1999 in DE
Enrollment address
175 Hospital Dr
Winchester, KY 40391-9591
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Clark Regional Medical CenterCCN 180092 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Kentucky Hospital LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

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
Lifepoint Holdings 2 LLC Organization, Brentwood, TN For-profit 5% Or Greater Direct Ownership Interest May 1, 2010 100%
Lifepoint Corporate Services General Partnership Organization, Brentwood, TN Operational/Managerial Control May 1, 2010
Matthew L. Smith Individual Contracted Managing EmployeeHospital Chief Executive Officer Jun 15, 2020
William Haugh Individual Corporate OfficerPresident Sep 19, 2022
DSB Acquisition LLC Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest May 1, 2010 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest May 11, 1999 100%
Daniel Davis Individual Corporate OfficerChief Financial Officer Sep 19, 2022
Lifepoint Health Inc Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Marcus B Poppell Individual Corporate OfficerSenior Vice President Apr 1, 2010
Charlotte E Lawrence Individual Corporate OfficerSecretary Jan 25, 2022
John Michael Grooms Individual Corporate OfficerSenior VP & Treasurer Nov 1, 2016
Christopher J Monte Individual Corporate OfficerVice President Jun 27, 2005
Legacy Lifepoint Health LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%

Facilities with the same owner 195

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 195

Practitioners & affiliated clinicians

Practitioners 53

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.

View all 53

Affiliated clinicians 258

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

View all 258

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1811213994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HOSPITAL DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403919591",
            "telephone_number": "859-745-3500",
            "fax_number": "859-745-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clark@yourcarecommunity.org",
            "affiliation": "N",
            "address_1": "175 Hospital Dr",
            "city": "Winchester",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403919591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clark Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clark Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.