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DSH180018AC ST CLAIRE MEDICAL CENTER INC (Terminated)
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Main Details
Name
ST CLAIRE MEDICAL CENTER INC
Subdivision Name
Palliative Care Clinic Hospice - Palliative / Hospice
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180018AC
Medicare Provider Number
180018
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2021
Participating Start Date
1/1/2022
Participating Approval Date
11/5/2021
Last Recertification Date
9/7/2022
Termination Date
Termination Reason
10/1/2023
Other
Contacts
Authorizing Official
St. Claire Medical Center
Chris McClurg, VP FINANCIAL SERVICES/CFO
(606) 783-6587
Primary Contact
St. Claire Healthcare
Caitlin Marie Guerin, Director of Pharmacy
(606) 783-6693
Addresses
Street Address
222 MEDICAL CIRCLE
Morehead
MOREHEAD, KY 40351
Billing Address
ST CLAIRE MEDICAL CENTER INC
222 MEDICAL CIRCLE
Morehead, KY 40351
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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