Healthcare Provider Details

I. General information

NPI: 1699941427
Provider Name (Legal Business Name): ST CLAIRE REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 W SUN ST
MOREHEAD KY
40351-1563
US

IV. Provider business mailing address

234 MEDICAL CIR
MOREHEAD KY
40351-1194
US

V. Phone/Fax

Practice location:
  • Phone: 606-783-6805
  • Fax: 606-783-6869
Mailing address:
  • Phone: 606-783-6805
  • Fax: 606-783-6869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License NumberKBML:R0689
License Number StateKY

VIII. Authorized Official

Name: DONALD H LLOYD II
Title or Position: CEO/PRESIDENT
Credential:
Phone: 606-783-6502