Organization
ST. CLAIRE MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD H LLOYD II (PRESIDENT/CEO)
(606) 783-6502
Entity
Organization
Contact information
Practice address
632 SLATE AVE, OWINGSVILLE, KY 40360-2206
(606) 674-6386
(606) 674-3096
Mailing address
PO BOX 1120, OWINGSVILLE, KY 40360-1120
(606) 674-6386
(606) 674-3096
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
700048
KY
261QR1300X
Rural Health Clinic/Center
Primary
900056
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020915100
FEDERAL BLACK LUNG
KY
01
—
080020948
RAILROAD MEDICARE INDIV #
KY
01
—
080020949
RAILROAD MEDICARE INDIV #
KY
01
—
080104514
RAILROAD MEDICARE INDIV #
KY
01
—
080113231
RAILROAD MEDICARE INDIV #
KY
05
—
31000599
—
KY
05
—
7100335590
—
KY
01
—
CEO156
MEDICARE RAILROAD
—
Enumeration date
03/31/2006
Last updated
08/17/2023
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