NPIMap

Organization Active NPI

Arh Mary Breckinridge Health Services, Inc.

Doing business as Mary Breckinridge ARH Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Hyden, KY
National Provider Identifier
1962040758
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.
Doing business as
Mary Breckinridge ARH Hospital
Practice address
130 Kate Ireland Dr
Hyden, KY 41749-9071
Phone
(606) 672-2901
NPI assigned
Dec 12, 2019
Last updated
Sep 19, 2024By 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 Sep 19, 2024

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary
Diagnostic Radiology Physician 2085R0202X

Addresses

Primary practice location

130 Kate Ireland Dr
Hyden, KY 41749-9071

Mailing address

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

Other names 1

  • Mary Breckinridge ARH Hospital 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, WV, CA, GA, AL, NC, WA, FL, AZ, NV, MO, TX, KS, PA, MI, RI19 enrollments

Enrollment records 19

Enrollment IDStateProvider typePAC IDDetails
O20121003000026 KY Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 39 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Big Creek, KY; Hyden, KY
O20170316001594 KY Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 85 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corbin, KY; Middlesboro, KY; Louisville, KY; Fort Thomas, KY; Barbourville, KY; Ashland, KY; Lexington, KY
O20170728001694 KY Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 97 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pikeville, KY; Martin, KY; Crestwood, KY; Louisville, KY; Lexington, KY; Harold, KY; Barbourville, KY; Ashland, KY
O20230523000284 OH Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 17 practitioners
3 other NPIs on this enrollment
Practice locations: Wintersville, OH; Wheelersburg, OH; Sugarcrk TWP, OH; Peninsula, OH; Minford, OH; Lucasville, OH; Ironton, OH; Dayton, OH…
O20230531001093 WV Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hurricane, WV; Charleston, WV
O20230614003887 CA Part B Supplier - Clinic/Group Practice 8123293818 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the 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
This NPI is an additional NPI on the enrollment
Practice locations: Providence, RI

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 14

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

View all 14

National Provider Directory

National Provider Directory
Part of
Summers Cnty Arh Hosp

Member of 1

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

Locations

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

Practitioners & affiliated clinicians

Practitioners 182

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 182

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1962040758",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KATE IRELAND DR",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "417499071",
            "telephone_number": "606-672-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN REGIONAL HELATHCARE, INC.",
        "enumeration_date": "2019-12-12",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "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": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "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": "Mary Breckinridge ARH Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Breckinridge ARH Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyden, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.