340B Drug Pricing Program Database


DSH180018G ST CLAIRE MEDICAL CENTER INC (Active) - information as of 6/9/2025 11:04:05 PM

Main Details
ST CLAIRE MEDICAL CENTER INC
SCR Family Medicine Sandy Hook
Disproportionate Share Hospital
Yes
DSH180018G
180018


Additional Details
Active
1/7/2013
4/1/2013
1/14/2013
8/29/2024

Contacts

St. Claire Medical Center
Chris McClurg, VP FINANCIAL SERVICES/CFO
(606) 783-6587

St. Claire Healthcare
Caitlin Marie Guerin, Director of Pharmacy
(606) 783-6693

Addresses

390 KY Hwy. 7 S
Sandy Hook, KY 41171

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
KY010151221205842788
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH180018AAChildDSHST CLAIRE MEDICAL CENTER INCSt Claire Medical Center Pavilion / Oncology and Hematology - Oncology/Hematology245 Flemingsburg RdMOREHEADKYActive
DSH180018ABChildDSHST CLAIRE MEDICAL CENTER INCSt. Medical Center Pavilion Gastrointestinal - Gastrointestinal245 Flemingsburg RdMOREHEADKYActive
DSH180018ACChildDSHST CLAIRE MEDICAL CENTER INCPalliative Care Clinic Hospice - Palliative / Hospice222 MEDICAL CIRCLEMOREHEADKYTerminated
DSH180018ADChildDSHST CLAIRE MEDICAL CENTER INCSt Claire Medical Center Pavilion Nephrology - Nephrology245 Flemingsburg RdMOREHEADKYActive
DSH180018BChildDSHST CLAIRE MEDICAL CENTER INCCave Run Surgical Specialists245 Flemingsburg RoadMoreheadKYActive
DSH180018CChildDSHST CLAIRE MEDICAL CENTER INCMorehead Medical Specialists245 Flemingsburg RoadMoreheadKYActive
DSH180018DChildDSHST CLAIRE MEDICAL CENTER INCSCR Family Medicine Frenchburg732 Highway 36FrenchburgKYActive
DSH180018EChildDSHST CLAIRE MEDICAL CENTER INCSCR HomeCare135 North Hargis AvenueMoreheadKYActive
DSH180018FChildDSHST CLAIRE MEDICAL CENTER INCSCR Family Medicine Olive Hill155 Bricklayer StreetOlive HillKYActive
DSH180018GChildDSHST CLAIRE MEDICAL CENTER INCSCR Family Medicine Sandy Hook390 KY Hwy. 7 SSandy HookKYActive
DSH180018HChildDSHST CLAIRE MEDICAL CENTER INCSCR Family Medicine Owingsville632 Slate AvenueOwingsvilleKYActive
DSH180018JChildDSHST CLAIRE MEDICAL CENTER INCSCR Outpatient Center1028 East Main StreetMoreheadKYActive
DSH180018KChildDSHST CLAIRE MEDICAL CENTER INCSCR Family Medicine Morehead316 West Second StreetMoreheadKYActive
DSH180018LChildDSHST CLAIRE MEDICAL CENTER INCSCR Hospice/Palliative Care201 Lyons AvenueMOREHEADKYActive
DSH180018MChildDSHST CLAIRE MEDICAL CENTER INCST CLAIRE MEDICAL CENTER / CAVE RUN SURGICAL SPECIALISTS - ORTHOPEDICS245 Flemingsburg RoadMOREHEADKYActive
DSH180018NChildDSHST CLAIRE MEDICAL CENTER INCST CLAIRE REGIONAL PEDIATRICS716 West MainMOREHEADKYActive
DSH180018PChildDSHST CLAIRE MEDICAL CENTER INCMOREHEAD MEDICAL SPECIALISTS / MOREHEAD MEDICAL SPECIALISTS - NEUROLOGY245 Flemingsburg RoadMOREHEADKYActive
DSH180018QChildDSHST CLAIRE MEDICAL CENTER INCMOREHEAD MEDICAL SPECIALISTS / MOREHEAD MEDICAL SPECIALISTS - INTERNAL MEDICINE255 Viking DriveMOREHEADKYActive
DSH180018RChildDSHST CLAIRE MEDICAL CENTER INCMOREHEAD MEDICAL SPECIALISTS / MOREHEAD MEDICAL SPECIALISTS - FAMILY PRACTICE316 West 2nd StreetMOREHEADKYActive
DSH180018SChildDSHST CLAIRE MEDICAL CENTER INCMOREHEAD MEDICAL SPECIALISTS / MOREHEAD MEDICAL SPECIALISTS - CARDIOLOGY245 Flemingsburg RoadMOREHEADKYActive
DSH180018TChildDSHST CLAIRE MEDICAL CENTER INCST CLAIRE MEDICAL CENTER / CAVE RUN SURGICAL SPECIALISTS - UROLOGY245 Flemingsburg RoadMOREHEADKYActive
DSH180018UChildDSHST CLAIRE MEDICAL CENTER INCST CLAIRE FAMILY MEDICINE- EXPRESS316 West 2nd StreetMOREHEADKYTerminated
DSH180018VChildDSHST CLAIRE MEDICAL CENTER INCST. CLAIRE MEDICAL CENTER INC / WOUND CARE245 Flemingsburg RoadMOREHEADKYActive
DSH180018WChildDSHST CLAIRE MEDICAL CENTER INCST. CLAIRE MEDICAL CENTER INC / PODIATRY245 Flemingsburg RoadMOREHEADKYActive
DSH180018XChildDSHST CLAIRE MEDICAL CENTER INCST CLAIRE COUNSELING - St. Claire Counseling555 West Sun StMOREHEADKYActive
DSH180018YChildDSHST CLAIRE MEDICAL CENTER INCST CLAIRE REG FAMILY MED MOREHEAD N - St. Claire Regional Family Medicine - Morehead North255 OLD VIKING DRMOREHEADKYActive
DSH180018ZChildDSHST CLAIRE MEDICAL CENTER INCMorehead Medical Specialists - Pain Management245 Flemingsburg RoadMoreheadKYActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification8/28/2023 9:06:05 AM8/29/2024 10:58:19 AM8/29/2024 10:58 AM
DetailsLast Recertification DateUpdateRecertification9/7/2022 10:16:34 AM8/28/2023 9:06:05 AM8/28/2023 9:06 AM
ContactsPrimary ContactUpdate Guerin, Caitlin Director of Pharmacy St. Claire Healthcare 6067836693Guerin, Caitlin Marie Director of Pharmacy St. Claire Healthcare 60678366937/10/2023 9:40 AM
ContactsPrimary ContactUpdateGroup Change RequestDELUCA, MICHAEL D Director of Pharmacy ST CLAIRE MEDICAL CENTER INC 6067836741Guerin, Caitlin Director of Pharmacy St. Claire Healthcare 60678366937/10/2023 7:07 AM
DetailsLast Recertification DateUpdateRecertification8/30/2021 9:23:25 AM9/7/2022 10:16:34 AM9/7/2022 10:16 AM
DetailsLast Recertification DateUpdateRecertification9/8/2020 10:24:22 AM8/30/2021 9:23:25 AM8/30/2021 9:23 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False6/18/2021 3:08 PM
Medicaid BillingMedicaid: NumberInsertChange Request 010151226/18/2021 3:08 PM
Medicaid BillingMedicaid: StateInsertChange Request KY6/18/2021 3:08 PM
Medicaid BillingNPI: NumberInsertChange Request 12058427886/18/2021 3:08 PM
Medicaid BillingNPI: StateInsertChange Request KY6/18/2021 3:08 PM
ContactsPrimary ContactUpdateChange RequestZornes, Monica Dawn Pharmacy Buyer St. Claire Regional Medical Center 6067836741DELUCA, MICHAEL D Director of Pharmacy ST CLAIRE MEDICAL CENTER INC 60678367414/14/2021 8:42 AM
ContactsPrimary ContactUpdateChange RequestJustice, Stephanie Director of Pharmacy St. Claire Regional Medical Center 6067836741Zornes, Monica Dawn Pharmacy Buyer St. Claire Regional Medical Center 606783674111/24/2020 2:34 PM
Medicaid BillingMedicaid: NumberDeleteRecertification31000581 (KY) 9/8/2020 10:24 AM
Medicaid BillingNPI: NumberDeleteRecertification1134267594 ( ) 9/8/2020 10:24 AM
Medicaid BillingNPI: NumberDeleteRecertification1447212493 ( ) 9/8/2020 10:24 AM
DetailsLast Recertification DateUpdateRecertification9/11/2019 11:25:48 AM9/8/2020 10:24:22 AM9/8/2020 10:24 AM
DetailsLast Recertification DateUpdateRecertification9/5/2018 10:39:35 AM9/11/2019 11:25:48 AM9/11/2019 11:25 AM
DetailsLast Recertification DateUpdateRecertification11/27/2017 10:23:40 AM9/5/2018 10:39:35 AM9/5/2018 10:39 AM
DetailsLast Recertification DateUpdateRecertification8/23/2016 12:00:00 AM11/27/2017 10:23:40 AM11/27/2017 10:23 AM
ContactsAuthorizing OfficialUpdate McClurg, Chris VP FINANCIAL SERVICES/CFO 6067836587McClurg, Chris VP FINANCIAL SERVICES/CFO St. Claire Medical Center 606783658710/23/2017 9:09 AM
ContactsPrimary ContactUpdate Justice, Stephanie Director of Pharmacy 6067836741Justice, Stephanie Director of Pharmacy St. Claire Regional Medical Center 606783674110/13/2017 12:14 PM
ContactsSigned ByInsert  JONES, G.R. VP FINANCIAL SERVICES/CFO 60678365087/18/2017 1:44 PM
ContactsPrimary ContactInsert  Justice, Stephanie Director of Pharmacy 60678367417/18/2017 1:44 PM
ContactsAuthorizing OfficialInsert  McClurg, Chris VP FINANCIAL SERVICES/CFO 60678365877/18/2017 1:44 PM
AddressesMain AddressInsert   390 KY Hwy. 7 S Sandy Hook, KY 411716/20/2017 4:01 PM
DetailsLast Recertification DateUpdate 8/19/2015 12:00:00 AM8/23/2016 12:00:00 AM8/23/2016 9:52 AM
DetailsLast Recertification DateUpdate 9/3/2014 12:00:00 AM8/19/2015 12:00:00 AM8/19/2015 10:05 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/3/2014 12:43 PM
Medicaid BillingMedicaid: NumberInsert  310005819/3/2014 12:43 PM
Medicaid BillingMedicaid: StateInsert  KY9/3/2014 12:43 PM
DetailsLast Recertification DateUpdate 8/21/2013 4:09:07 PM9/3/2014 12:00:00 AM9/3/2014 12:43 PM
DetailsLast Recertification DateUpdate  8/21/2013 4:09:07 PM8/21/2013 4:09 PM
Details340B IDUpdate ISAPDSH180018GDSH180018G1/14/2013 12:52 PM
DatesParticipating Approval DateUpdate  1/14/2013 12:00:00 AM1/14/2013 12:52 PM
DetailsStateUpdate PendingActive1/14/2013 12:52 PM
DatesStart DateUpdate  4/1/2013 12:00:00 AM1/14/2013 12:52 PM
Details340B IDUpdate AP010813MISAPDSH180018G1/10/2013 5:24 PM
Details340B IDUpdate OUTPATIENT_ONLINE_REGAP010813M1/8/2013 11:44 AM
Medicaid BillingNPI: NumberInsert  11342675941/7/2013 2:14 PM
Medicaid BillingNPI: NumberInsert  14472124931/7/2013 2:14 PM
DetailsLast Recertification DateInsert   1/7/2013 2:14 PM
DetailsGrant NumberInsert   1/7/2013 2:14 PM
Details340B IDInsert  OUTPATIENT_ONLINE_REG1/7/2013 2:14 PM
DetailsIs Authorizing Official EHB DataInsert   1/7/2013 2:14 PM
DatesLast Date That 340B Drugs PurchasedInsert   1/7/2013 2:14 PM
DetailsMedicare Provider NumberInsert  1800181/7/2013 2:14 PM
DetailsEntity NameInsert  ST CLAIRE MEDICAL CENTER INC1/7/2013 2:14 PM
DetailsProgram CodeInsert  DSH1/7/2013 2:14 PM
DetailsEntity SubnameInsert  SCR Family Medicine Sandy Hook1/7/2013 2:14 PM
DatesParticipating Approval DateInsert   1/7/2013 2:14 PM
DetailsStateInsert  Pending1/7/2013 2:14 PM
DatesRegistration DateInsert  1/7/2013 12:00:00 AM1/7/2013 2:14 PM
DatesSigned By DateInsert  1/7/2013 12:00:00 AM1/7/2013 2:14 PM
DatesStart DateInsert   1/7/2013 2:14 PM
TerminationsTermination CommentsInsert   1/7/2013 2:14 PM
TerminationsTermination DateInsert   1/7/2013 2:14 PM
TerminationsTermination Effective DateInsert   1/7/2013 2:14 PM
TerminationsTermination ReasonInsert   1/7/2013 2:14 PM