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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
155 BRICKLAYER STREET, OLIVE HILL, KY 41164
(606) 286-4152
(606) 283-2385
Mailing address
PO BOX 1268, OLIVE HILL, KY 41164-1268
(606) 286-4152
(606) 286-2385

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
700050
KY
261QR1300X
Rural Health Clinic/Center
Primary
900057
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029858800
FEDERAL BLACK LUNG
KY
01
080025855
RAILROAD MEDICARE INDIV #
KY
01
080077589
RAILROAD MEDICARE INDIV #
KY
01
080113207
RAILROAD MEDICARE INDIV #
KY
01
080113230
RAILROAD MEDICARE INDIV #
01
080187638
RAILROAD MEDICARE INDIV #
KY
05
31000326
KY
05
7100335610
KY
Enumeration date
04/05/2006
Last updated
08/17/2023
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