NPIMap

Organization Active NPI

Arh Mary Breckinridge Health Services, Inc.

Doing business as Barbourville ARH Hospital

  • Critical Access Hospital
  • Barbourville, KY
National Provider Identifier
1992176655
Registry record updated Sep 19, 2024
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
Barbourville ARH Hospital
Practice address
80 Hospital Dr
Barbourville, KY 40906-7363
Phone
(606) 545-5500
NPI assigned
Oct 7, 2015
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 P Harris
Title
President and Ceo
Phone
(859) 226-2511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

80 Hospital Dr
Barbourville, KY 40906-7363

Mailing address

100 Airport Gardens Rd
Hazard, KY 41701-9529
Phone (606) 545-5500

Other identifiers 1

IdentifierTypeStateIssuer
7100406400MedicaidKY

Other names 1

  • Barbourville 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160202002563 KY Part A Provider - Critical Access Hospital 8123293818 1 other NPI on this enrollment
Practice locations: Barbourville, KY; Middlesboro, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992176655. Details of each certification follow.

Hospital certification: CCN 181328

Legal name
ARH MARY BRECKINRIDGE HEALTH SERVICES INC
Doing business as
BARBOURVILLE ARH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2005
Last certification
May 24, 2013
Beds
25
Ownership / control type
Local
Most recent change of ownership
Dec 1, 2015 (4 total)
Organization structure
CorporationNon-profit
Incorporated
May 31, 2011 in KY
Enrollment address
80 Hospital Dr
Barbourville, KY 40906-7363
Other Hospital Practice Location
Hospital subgroups
Other

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 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Knox County HospitalCCN 181328 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Arh Mary Breckinridge HLTH13 organizations share this tax ID, including this one
Part of
Summers Cnty Arh Hosp

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

Ownership & related parties

All disclosed owners & managing parties 7

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
Corporate DirectorPresident and Ceo May 10, 2021
Appalachian Regional Healthcare Inc Organization, Lexington, KY Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 31, 2011 100%
Andrea Massey Individual Corporate DirectorBoard Member Nov 8, 2019
Danny Harris Individual Corporate OfficerTreasurer and Director Oct 16, 2015
Corporate DirectorTreasurer and Director May 10, 2013
The Bank of New York Mellon Trust Company Organization, Louisville, KY Financial institution 5% Or Greater Security Interest Dec 19, 2012 100%
Susan Renae Neace Individual W-2 Managing EmployeeSys Director of Medical Affairs Nov 1, 2015
Charles Lovell Individual W-2 Managing EmployeeCceo, Administrator Dec 1, 2015

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 2

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.

Affiliated clinicians 58

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

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1992176655",
    "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": "606-545-5500",
            "fax_number": "606-545-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HOSPITAL DR",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067363",
            "telephone_number": "606-545-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN REGIONAL HELATHCARE, INC.",
        "enumeration_date": "2015-10-07",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "859-226-2511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100406400",
            "state": "KY"
        }
    ],
    "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": "Barbourville ARH Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.