NPIMap

Organization Active NPI

St Claire Regional Medical Center

Doing business as St Claire Primary Care Bath Co PH

  • Community/Retail Pharmacy
  • Owingsville, KY
National Provider Identifier
1841334570
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PO1413 Issued in KY
Legal business name
ST CLAIRE REGIONAL MEDICAL CENTER
Doing business as
St Claire Primary Care Bath Co PH
Practice address
632 Slate Ave
Owingsville, KY 40360
Phone
(606) 674-6177
Fax
(606) 674-3096
NPI assigned
Feb 16, 2007
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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) 783-6502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PO1413 KY Primary

Addresses

Primary practice location

632 Slate Ave
Owingsville, KY 40360

Mailing address

PO Box 1120
Owingsville, KY 40360-1120

Other identifiers 4

IdentifierTypeStateIssuer
5401692800MedicaidKY
1813256OtherOTHER ID NUMBER
9003006500MedicaidKY
1813256OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • ST CLAIRE PRIMARY CARE BATH CO PH Doing business as

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1841334570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1120",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "403601120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 SLATE AVE",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "40360",
            "telephone_number": "606-674-6177",
            "fax_number": "606-674-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIRE REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "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": "606-783-6502",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "PO1413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5401692800",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1813256",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003006500",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1813256",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST CLAIRE PRIMARY CARE BATH CO PH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST CLAIRE PRIMARY CARE BATH CO PH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owingsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.