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ONE CROSS COMMUNITY, INC.
NPI 1215404082
Clinic/Center - Federally Qualified Health Center (FQHC) in Lebanon, KY

Active since October 30, 2018CLIA Certified · 2 labs
429 W WALNUT ST, LEBANON, KY 40033(270) 789-0034(270) 789-0097 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2022, Jan 7, 2019, Oct 30, 2018 (3 updates tracked since 2018).

About One Cross Community, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ONE CROSS COMMUNITY, INC. (NPI 1215404082) is a healthcare organization registered as a federally qualified health center (fqhc) in Lebanon, Kentucky and active in the NPI registry since October 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Campbellsville, and lists Kimberly Rose Mckenna, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215404082
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameONE CROSS COMMUNITY, INC.
Location Address429 W WALNUT STLebanon, KY 40033-1346
Mailing Address102 Winston Way Ste 5Campbellsville, KY 42718-4991 · (270) 789-0034 · Fax (270) 789-0097
Phone(270) 789-0034
Fax(270) 789-0097
Organization SubpartNo
Authorized OfficialKimberly Rose MckennaCeo · (270) 403-1106
Enumeration DateOctober 30, 2018
Last NPPES UpdateApril 30, 20253 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1215404082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
429 W WALNUT ST, Lebanon, KY 40033
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Secondary Practice Location 1

Location 1106 Winston WayCampbellsville, KY 42718-4953 · Phone (270) 789-0034 · Fax (270) 789-0097

Other Identifiers 1

Medicaid7100967340KY

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2324125

One Cross Community · Campbellsville, KY
Active · expires May 18, 2027
CLIA Number18D2324125
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorMs. Kim Mckenna
Laboratory Phone(270) 403-1106
Laboratory LocationOne Cross Community106 Winston Way, Campbellsville, KY 42718
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2274741

One Cross Community Inc · Lebanon, KY
Active · expires Jan 9, 2027
CLIA Number18D2274741
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorMs. Kim R. Mckenna
Laboratory Phone(270) 403-1106
Laboratory LocationOne Cross Community Inc429 West Walnut St, Lebanon, KY 40033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES M. SMITH M.D.
Surgery
429 W WALNUT ST
LEBANON, KY 40033
Marion County (270) 699-4602
BIO-MEDICAL APPLICATIONS OF KENTUCKY, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
429 W WALNUT ST
LEBANON, KY 40033
Marion County (270) 699-2530
DR. KEVIN D SLENTZ MD
Surgery
429 W WALNUT ST
LEBANON, KY 40033
Marion County (502) 868-5617
ANGELICA ANDERSON APRN
Nurse Practitioner (Family)
429 W WALNUT ST
LEBANON, KY 40033
Marion County (270) 295-1010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is One Cross Community, Inc.'s NPI number?

The NPI number for One Cross Community, Inc. is 1215404082. It was assigned to this organization in the NPPES registry on October 30, 2018.

Where is One Cross Community, Inc. located?

One Cross Community, Inc. is located at 429 W Walnut St, Lebanon, KY 40033. The listed phone number is (270) 789-0034.

What is One Cross Community, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does One Cross Community, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for One Cross Community, Inc. was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.