BRECKINRIDGE HEALTH, INC (NPI# 1104828383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104828383 |
| Entity Type | Organization |
| Organization Name | BRECKINRIDGE HEALTH, INC |
| Practice Address |
1011 Old Highway 60 Hardinsburg KY 40143-2519 |
| Practice Telephone | 2707567000 |
| Practice Fax Number | 2705802208 |
| Mailing Telephone | 2707566569 |
| Mailing Fax Number | 2705802208 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | ANGELA FAYE PORTMAN (CEO) |
| Authorized Official Telephone | 2707566569 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
600070 | KY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT | 1041597 | 01 |
| KY | MEDICARE SWING BED | 18Z319 | 01 |
| KY | BLUE CROSS | 000000054573 | 01 |
| KY | 12503173 | 05 | |
| KY | 01015932 | 05 | |
| KY | BLUE SHIELD | 000000069148 | 01 |
| KY | SNF | 185285 | 01 |
| Street Address |
1011 OLD HIGHWAY 60 |
| City | HARDINSBURG |
| State | KY |
| Zip Code | 40143-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346746385 | Concord Medical Group of Kentucky Pllc | Emergency Medicine | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2018-03-30 |
| 1093227431 | Breckinridge Health Inc | Clinic/Center | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2017-10-25 |
| 1649798075 | Breckinridge Health Inc | Anesthesiology | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2017-09-06 |
| 1306203641 | John Eric Roe Jr. | Nurse Anesthetist, Certified Registered | 1011 Old Highway 60, Hardinsburg, KY 40143 | 2016-01-18 |
| 1871958157 | Breckinridge Health, Inc. | Psychiatry & Neurology | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2015-12-30 |
| 1114336609 | Mary Ratliff | Dietitian, Registered | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2014-08-08 |
| 1477743003 | Breckinridge Health, Inc. | Emergency Medicine | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2007-07-30 |
| 1982765921 | Breckinridge Health Inc | Pharmacy | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2006-12-13 |
| 1831294206 | Breckinridge Health, Inc. | Medicare Defined Swing Bed Unit | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2006-09-13 |
| 1275584286 | Darrell Hallau | Emergency Medicine | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134513559 | Alicia Cheryl Henning | Nurse Practitioner | 83 Ballpark Rd, Hardinsburg, KY 40143 | 2015-03-24 |
| 1447539663 | Brian Chad Brill Jr. | Internal Medicine | 207a Fairgrounds Rd, Hardinsburg, KY 40143 | 2011-08-04 |
| 1083811350 | Susan Bacon Baetzel | Physical Therapist | 101 Fairgrounds Rd., Hardinsburg, KY 40143 | 2007-06-29 |
| 1265453658 | Rebecca Driskell-mccoy | Clinic/Center | 122 W Third St, Hardinsburg, KY 40143 | 2006-07-21 |
| 1891713442 | Rebecca Lanora Driskell-mccoy | Dentist | 122 W Third St., Hardinsburg, KY 40143 | 2006-07-18 |
| 1851340848 | Breckinridge County Central Ems Inc | Ambulance | 807 Old Us 60, Hardinsburg, KY 40143 | 2006-05-08 |
| 1265480164 | David Michael Faber | Surgery | 607 Old Highway 60, Hardinsburg, KY 40143 | 2006-05-04 |
| 1538135033 | Meena S Patel | Pediatrics | 203 Fairgrounds Rd, Hardinsburg, KY 40143 | 2006-02-24 |
| 1568912400 | Breckinridge Health Inc | Family Medicine | 107 Old Hwy 60, Hardinsburg, KY 40143 | 2016-10-04 |
| 1457719643 | Ack Healthcare Management LLC | Nurse Practitioner | 83 Ballpark Rd, Hardinsburg, KY 40143 | 2016-02-03 |
| Find all providers in zip 40143 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689977415 | Robley Rex Veterans Affairs Medical Center (vamc) | General Acute Care Hospital | 2853 Regan Ave, Louisville, KY 40206-1329 | 2010-12-16 |
| 1407049877 | Wellmont Health System | General Acute Care Hospital | 9480 Hwy 805, Jenkins, KY 41537-0472 | 2007-08-20 |
| 1225161524 | Jane Todd Crawford Memorial Hospital Inc. | General Acute Care Hospital | 202-206 Milby St, Greensburg, KY 42743-1136 | 2007-03-14 |
| 1417035668 | David Shane Rice | General Acute Care Hospital | 313 Esto Hts, Russell Springs, KY 42642-6941 | 2006-11-02 |
| 1629007430 | Ohio County Hospital Corporation | General Acute Care Hospital | 1211 Old Main St, Hartford, KY 42347-1619 | 2006-07-02 |
| 1841233640 | University of Kentucky | General Acute Care Hospital | Ms101 Ukmc 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-13 |
| 1013954437 | Russell County Hospital | General Acute Care Hospital | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2006-06-02 |
| 1114974813 | St Elizabeth Medical Center, Inc | General Acute Care Hospital | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2006-05-28 |
| 1902862824 | The James B. Haggin Memorial Hospital Inc | General Acute Care Hospital | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2006-04-21 |
| 1174511620 | Methodist Health, Inc. | General Acute Care Hospital | 4604 Us Highway 60 W, Morganfield, KY 42437-6515 | 2005-10-10 |
| Find all providers with the same taxonomy | ||||
| City | HARDINSBURG |
| Zip Code | 40143 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.