Berea Health Ministry, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

BEREA HEALTH MINISTRY, INC

Practice address

305 Estill Street
Berea, KY 40403-1742

Phone

(859) 986-1274

Fax

(859) 986-1279

NPI assigned

Dec 21, 2006

Organization subpart

Yes

Parent organization

BEREA HEALTH MINISTRY, INCAs reported in NPPES

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

Authorized official

Name

Cappie L Parsons

Title

Administrator

Phone

(859) 986-0485

Specialties & licenses 2

Addresses

Other identifiers 2

Part of

Berea Health Ministry Inc

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1467516450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ESTILL STREET",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031742",
            "telephone_number": "859-986-1274",
            "fax_number": "859-986-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ESTILL STREET",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031742",
            "telephone_number": "859-986-1274",
            "fax_number": "859-986-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEREA HEALTH MINISTRY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEREA HEALTH MINISTRY, INC",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "CAPPIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "859-986-0485"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": "261QR1300X",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35001718",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35-001718",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berea Clinic of Internal Medicine, PSC
• Berea College Health Service
• Berea Drug Co Inc
• Berea Drug Co Inc
• Berea Health Care, Inc.
• Berea Healthcare, LLC
• Berea Hospital Inc.
• Berea Independent School
• Berea Operations, LLC
• Berea Optical LLC

• All providers in Berea, KY
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.