Arh Mary Breckinridge Health Services, Inc.
Organization Active NPI Community/Retail Pharmacy · Harold, KY
NPI 1144804378 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1144804378
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.
- Practice address
- 24 Left Penhook Rd
Harold, KY 41635-7064 - Phone
- (606) 285-6644
- Fax
- (606) 285-6645
- NPI assigned
- May 12, 2021
- 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
Corporate family (same tax ID) 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- Arh Mary Breckinridge Inc
- Part of
- Arh Hazard Family Healt
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
24 Left Penhook Rd
Harold, KY 41635-7064
Mailing address
100 Airport Gardens Rd
Hazard, KY 41701-9529
Phone (606) 216-5145
Other names
- ARH Harold 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 Harold, KY
- Arh Mary Breckinridge Health Services, Inc.
- Big Sandy Health Care Inc
- John Lee Cecil
- Jenny G Collins
- Caleb Matthew Damron
All providers in Harold, 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.