Arh Mary Breckinridge Health Services, Inc.
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Hyden, KY
NPI 1962040758 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1962040758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- Legal business name
- ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.
- Practice address
- 130 Kate Ireland Dr
Hyden, KY 41749-9071 - Phone
- (606) 672-2901
- NPI assigned
- Dec 12, 2019
- 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 14
Other NPIs with the same Medicare PAC ID 18
Member of 1
Practitioners 188
-
Nathan Daniel Bennington, D.O.
-
Jeffrey R Clark, MD
-
Adam David Evans, D.O.
-
Tyler Jonathan Evans, D.O.
-
Roland E Gazaille III, D.O.
-
Norman M Jacobs, MD
-
Scott D Logan, MD
-
Jami Michelle Lyon, D.O.
-
Ramez A Malaty, M.D.
-
Edward F Martinek, M.D.
-
Ryan Nichols, MD
-
Katherine Maria Cyran, M.D.
-
Amanda Slaven Abbott, APRN, PMHNP-BC
-
James Derrick Adams, M.D.
-
Vincent Almagno, MD
-
Jonathan Bach, MD
-
Kayla Larae Bargo, APRN
-
Kimberly E Brown, APRN
-
Sarah Michelle Brown, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (19 enrollments) in KY, OH, WV, CA, GA, AL, NC, WA, FL, AZ, NV, MO, TX, KS, PA, MI, RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Arh Hazard Family Healt
Locations
1317 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 620-4153
1317 Cumberland Falls Hwy
#B
Corbin, KY 40701
Phone (606) 523-5402
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | Yes | ||
| 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
- Mary Breckinridge ARH Hospital
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 Hyden, KY
- Andrea L. Little, DMD, PSC
- Appalachian Physical Therapy PLLC
- Arh Mary Breckinridge Health Services
- Arh Mary Breckinridge Health Services, Inc.
- Arh Mary Breckinridge Health Services, Inc.
- Arh Mary Breckinridge Health Services, Inc.
- Arh Mary Breckinridge Health Servicesm Inc.
- Andrew Richard Barnes
- Ferdousi Begum
- Heather Nicole Bowling
All providers in Hyden, KY · Anatomic Pathology & Clinical Pathology 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 Sep 19, 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.