NPIMap

Organization Active NPI

Arh Mary Breckinridge Health Services, Inc.

Doing business as ARH Our Lady of the Way

  • Critical Access Hospital
  • Martin, KY
National Provider Identifier
1306339460
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.
Doing business as
ARH Our Lady of the Way
Practice address
11203 Main St
Martin, KY 41649-7999
Phone
(606) 285-6400
NPI assigned
Jun 12, 2018
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
APPALACHIAN REGIONAL HELATHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Hollie Harris
Title
President and Ceo
Phone
(859) 226-2511

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
Internal Medicine Physician 207R00000X NU
Diagnostic Radiology Physician 2085R0202X NU
Critical Access Hospital 282NC0060X NU Primary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

11203 Main St
Martin, KY 41649-7999

Mailing address

100 Airport Gardens Rd
Hazard, KY 41701-9529
Phone (606) 487-7524

Other names 1

  • ARH Our Lady of the Way Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, CA, GA, AL, NC, WA, FL, AZ, NV, MO, TX, KS, PA, MI, RI17 enrollments

Enrollment records 17

Enrollment IDStateProvider typePAC IDDetails
O20170728001694 KY Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 97 practitioners
9 other NPIs on this enrollment
Practice locations: Pikeville, KY; Martin, KY; Crestwood, KY; Louisville, KY; Lexington, KY; Harold, KY; Barbourville, KY; Ashland, KY
O20180816002247 KY Part A Provider - Critical Access Hospital 8123293818 Practice locations: Martin, KY
O20230523000284 OH Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 17 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wintersville, OH; Wheelersburg, OH; Sugarcrk TWP, OH; Peninsula, OH; Minford, OH; Lucasville, OH; Ironton, OH; Dayton, OH…
O20230614003887 CA Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: Corona del Mar, CA
O20250811001449 GA Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Saint Marys, GA
O20250813002393 AL Part B Supplier - Hospital Department(S) 8123293818 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
Practice locations: Florence, AL; Theodore, AL; Vestavia, AL
O20250827001154 NC Part B Supplier - Hospital Department(S) 8123293818 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Mooresville, NC
O20250917002312 WA Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
Practice locations: Moses Lake, WA; Richland, WA
O20250919003867 FL Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
Practice locations: Wellington, FL; Gulf Breeze, FL; Saint Petersburg, FL; Boca Raton, FL; Port Charlotte, FL
O20251015001689 AZ Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
Practice locations: Chandler, AZ; Phoenix, AZ; Mesa, AZ; Paradise Valley, AZ
O20251015002538 NV Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Las Vegas, NV
O20251023001678 MO Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Saint Louis, MO
O20251028002665 TX Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
Practice locations: Austin, TX; Bellaire, TX; Brownwood, TX; Katy, TX; Laredo, TX; Prosper, TX
O20251224001944 KS Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Lawrence, KS
O20260227002036 PA Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Pittsburgh, PA
O20260327003072 MI Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Bloomfield Hills, MI
O20260518000232 RI Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Providence, RI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306339460. Details of each certification follow.

Hospital certification: CCN 181305

Legal name
ARH MARY BRECKINRIDGE HEALTH SERVICES INC
Doing business as
ARH OUR LADY OF THE WAY
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2000
Last certification
Jul 15, 2002
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2008 (1 total)
Organization structure
CorporationNon-profit
Incorporated
May 31, 2011 in KY
Enrollment address
11203 Main St
Martin, KY 41649-7999
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Arh Our Lady of the WayCCN 181305 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Arh Consolidated Lab

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hollie Harris Individual Corporate OfficerPresident and Ceo May 10, 2021
Appalachian Regional Healthcare Inc Organization, Lexington, KY Non-profit 5% Or Greater Direct Ownership Interest May 31, 2011 100%
Andrea Massey Individual Corporate DirectorBoard Member Nov 8, 2019
Christi Lee Individual Corporate OfficerBoard Member/Secretary Nov 5, 2021
Byron Lynn Gabbard Individual Corporate OfficerCfo Nov 28, 2023
Corporate DirectorCfo Nov 28, 2023
Vanessa Johnson Individual W-2 Managing EmployeeManager of Provider Enrollment Aug 1, 2017
Operational/Managerial ControlManager of Provider Enrollment Aug 1, 2017

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Practitioners & affiliated clinicians

Practitioners 132

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 132

Affiliated clinicians 45

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 45

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1306339460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT GARDENS RD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019529",
            "telephone_number": "606-487-7524",
            "fax_number": "606-439-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 MAIN ST",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416497999",
            "telephone_number": "606-285-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN REGIONAL HELATHCARE, INC.",
        "enumeration_date": "2018-06-12",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "859-226-2511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ARH Our Lady of the Way",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martin, KY

Sources for this page

Verify at the official NPI Registry.