Arh Mary Breckinridge Health Services, Inc.
Organization Active NPI Community/Retail Pharmacy · Barbourville, KY
NPI 1114580370 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1114580370
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.
- Practice address
- 80 Hospital Dr
Barbourville, KY 40906-7363 - Phone
- (606) 545-5535
- Fax
- (606) 545-5513
- NPI assigned
- Apr 15, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- APPALACHIAN REGIONAL HELATHCARE, INC.
Authorized official
- Name
- Ms. Hollie Harris
- Title
- President and Ceo
- Phone
- (859) 226-2511
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 18
Practitioners 87
-
Amanda Slaven Abbott, APRN, PMHNP-BC
-
James Derrick Adams, M.D.
-
Vincent Almagno, MD
-
Jonathan Bach, MD
-
Kayla Larae Bargo, APRN
-
Kimberly E Brown, APRN
-
Sarah Michelle Brown, APRN
-
Richard D. Calhoun, DPM
-
Melanie Lind Chesnut, APRN
-
Tammy Chorak, PMH-NP
-
Christopher Lynn Clement, D.P.M.
-
Robert B Davis, MD
-
Kyle Ethan Farmer, APRN, FNP-C
-
Karen Denise Gooslin, D.O.
-
Ashley Nicole Hacker, APRN
-
Ashleigh Kenella Hayton, PA-C
-
Brian L. Hunter, P.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190822002307 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 8123293818 | Practice locations: Barbourville, KY |
| O20200813001018 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 8123293818 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Martin, KY; Middlesboro, KY; Barbourville, KY; Harold, KY |
National Provider Directory
- Part of
- Arh Hazard Family Healt
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
80 Hospital Dr
Barbourville, KY 40906-7363
Mailing address
PO Box 602
West Liberty, KY 41472-0602
Phone (606) 545-5535
Other names
- Barbourville ARH Specialty Pharmacy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Barbourville, KY
- Gynger Marie Adams
- Adapt Learn and Grow LLC
- Alliance Community Health Inc
- Apex Physical Therapy and Sports Performance, LLC
- Appalachian Restoration Project Inc.
- Arh Mary Breckinridge Health Services, Inc.
- Arh Mary Breckinridge Health Services, Inc.
- Arh Mary Breckinridge Health Services, Inc.
- Arh Mary Breckinridge Health Services, Inc.
- Arh Mary Breckinridge Health Services, Inc.
All providers in Barbourville, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.