Breckinridge Health Inc.
Organization Active NPI Family Medicine Physician · Hardinsburg, KY
NPI 1336142181 · NPPES record last updated Jan 3, 2013
Key facts
- NPI
- 1336142181
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 38740 (KY)
- Legal business name
- BRECKINRIDGE HEALTH INC.
- Practice address
- 105 Chambliss Dr
Hardinsburg, KY 40143-2575 - Phone
- (270) 756-2424
- Fax
- (270) 756-2525
- NPI assigned
- May 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Cindy Armes
- Title
- Office Manager
- Phone
- (270) 756-2424
Other NPIs on the same Medicare enrollment 9
Corporate family (same tax ID) 20
Practitioners 2
-
Benjamin S Smith, MD
-
Marinetta Vanlahr, ARNP, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031208000333 | KY | Part B Supplier - Clinic/Group Practice | 0941106454 |
Receives reassigned benefits from 32 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hardinsburg, KY; McDaniels, KY; Irvington, KY; Cloverport, KY |
National Provider Directory
- Tax ID family
- Breckinridge Health Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 38740 | KY | Yes |
Addresses
Primary practice location
105 Chambliss Dr
Hardinsburg, KY 40143-2575
Mailing address
105 Chambliss Dr
Hardinsburg, KY 40143-2575
Phone (270) 756-2424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65941817 | Medicaid | KY | |
| CH7872 | Other | KY | PALMETTO GBA |
Other names
- BHI FAMILY CARE CENTER
Other providers in Hardinsburg, KY
- Breckinridge Health Inc
- Breckinridge Health Inc
- Breckinridge Health Inc
- Breckinridge Health Inc
- Breckinridge Health Inc
- Breckinridge Health Inc.
- Breckinridge Health Inc.
- Breckinridge Health, Inc
- Breckinridge Health, Inc.
- Breckinridge Health, Inc.
All providers in Hardinsburg, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2013. 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.