ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. (NPI# 1962040758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962040758 |
| Entity Type | Organization |
| Organization Name | ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. |
| Practice Address |
130 Kate Ireland Dr Hyden KY 41749-9071 |
| Mailing Address |
100 Airport Gardens Rd Hazard KY 41701-9529 |
| Practice Telephone | 6066722901 |
| Mailing Telephone | 6064877524 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | MR. JOSEPH L GROSSMAN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8592262440 |
| Is Organization Subpart | Y |
| Parent Organization Name | APPALACHIAN REGIONAL HELATHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mary Breckinridge ARH Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1376161588 | Arh Mary Breckinridge Health Services, Inc. | Pharmacy | 3504 West Cumberland Ave, Middlesboro, KY 40965-2612 | 2020-07-14 |
| 1518452937 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 1403 Ky Route 306 Ste 102, Wheelwright, KY 41669-9035 | 2018-06-27 |
| 1174016281 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 12579 Main St, Martin, KY 41649-7400 | 2018-06-13 |
| 1215420385 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 9350 Us Highway 23 S Ste 3, Stanville, KY 41659-9047 | 2018-06-12 |
| 1982989018 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 805 Middle Fork Road, Asher, KY 40803 | 2011-10-20 |
| 1750991840 | Arh Mary Breckinridge Health Services, Inc. | Family Medicine | 310 College St, Barbourville, KY 40906-1410 | 2020-08-04 |
| 1194351460 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 24 Left Penhook Rd, Harold, KY 41635-7064 | 2020-03-19 |
| 1114580370 | Arh Mary Breckinridge Health Services, Inc. | Pharmacy | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2019-04-15 |
| 1114408960 | Arh Mary Breckinridge Health Services, Inc. | Clinical Medical Laboratory | 11203 Main St, Martin, KY 41649-7999 | 2018-08-28 |
| Street Address |
130 KATE IRELAND DR |
| City | HYDEN |
| State | KY |
| Zip Code | 41749-9071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467432492 | Heidi A Froemke | Nurse Practitioner | 130 Kate Ireland Dr, Hyden, KY 41749 | 2006-01-17 |
| 1710537428 | Kyle Ethan Farmer | Nurse Practitioner | 130 Kate Ireland Dr, Hyden, KY 41749-9071 | 2019-09-14 |
| 1770007064 | Hester Nicole Watts | Nurse Practitioner | 130 Kate Ireland Dr, Hyden, KY 41749-9071 | 2017-07-28 |
| 1023472420 | Kaitlyn Kreitzer | Physical Therapy Assistant | 130 Kate Ireland Dr, Hyden, KY 41749-9071 | 2016-04-12 |
| 1962866319 | Carlenia Irene Gose | Occupational Therapy Assistant | 130 Kate Ireland Dr, Hyden, KY 41749-9071 | 2016-04-12 |
| 1326413097 | Arh Mary Breckinridge Health Services | Clinical Medical Laboratory | 130 Kate Ireland Dr, Hyden, KY 41749-9071 | 2015-12-07 |
| 1427432566 | Arh Mary Breckinridge Health Servicesm Inc. | Medicare Defined Swing Bed Unit | 130 Kate Ireland Dr, Hyden, KY 41749-9071 | 2015-07-18 |
| 1992198196 | Melanie Bowling | Physical Therapy Assistant | 130 Kate Ireland Dr, Hyden, KY 41749-9071 | 2015-03-12 |
| 1275968612 | Heather Michelle Tabata | Physical Therapist | 130 Kate Ireland Dr, Hyden, KY 41749-9071 | 2013-09-04 |
| 1396185716 | Tasha L Mccormick | Nurse Practitioner | 130 Kate Ireland Dr, Hyden, KY 41749 | 2013-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114417706 | Jerrica Sizemore | Occupational Therapist | 21040 Us-421, Hyden, KY 41749 | 2018-05-18 |
| 1356864623 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21287 Hwy 421, Hyden, KY 41749 | 2017-07-19 |
| 1629527304 | Jacob Charles Williams | Pharmacist | 21287 Highway 421, Hyden, KY 41749 | 2016-09-23 |
| 1063766012 | Mag Medical | Nurse Practitioner | 21154 Hwy 421, Hyden, KY 41749 | 2012-10-30 |
| 1811277973 | Richard B Morgan | Pharmacist | 21154 Highway 421 South, Hyden, KY 41749 | 2011-08-22 |
| 1245522747 | Ma Angelica Sunga Buenaventura | Pharmacist | 21154 Highway 421, Hyden, KY 41749 | 2011-05-03 |
| 1598097362 | Teresia Davidson-griffith | Counselor | 28 Firehouse Lane, Hyden, KY 41749 | 2010-02-04 |
| 1740411826 | Rebecca Ann Burkhardt | Pharmacist | 22044 Main St., Hyden, KY 41749 | 2009-08-06 |
| 1104000447 | Doris Smith-whitaker | Social Worker | 28 Fire House Lane, Hyden, KY 41749 | 2007-12-21 |
| 1861671851 | Tracey Angela Grigsby | Dietitian, Registered | 40 Moore Lane, Hyden, KY 41749 | 2007-10-26 |
| Find all providers in zip 41749 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801397005 | Lourente Bacus Tigas | Pathology | 330 Quail Ct, Russell, KY 41169-1575 | 2018-02-22 |
| 1275064743 | Treeva Jassim | Pathology | 800 Rose St Ste Ms -117, Lexington, KY 40536 | 2017-03-25 |
| 1265889372 | Alfred Bennett Jenson | Pathology | 2307 River Road, Suite 101, Louisville, KY 40206-5000 | 2016-05-18 |
| 1184983819 | Jessica Howard | Pathology | 3408 Squire Oak Dr, Lexington, KY 40515-1338 | 2012-05-15 |
| 1073871802 | Zhan Ye | Pathology | Department of Pathology 800 Rose St, Ms117, Lexington, KY 40536-0298 | 2012-04-30 |
| 1568720498 | Beth Ellen Frost | Pathology | Hq101 University of Kentucky, 800 Rose Street, Lexington, KY 40536-0288 | 2012-04-28 |
| 1104104801 | Lawrence Harold Boram | Pathology | 1918 Charbdin Pl, Louisville, KY 40207-1678 | 2011-07-28 |
| 1639482748 | Lauren Lippincott | Pathology | 10511 La Grange Rd, Louisville, KY 40223-1277 | 2010-07-17 |
| 1447447131 | Alka Uppal Khanna | Pathology | 3900 Southern Hills Dr, Ashland, KY 41102-7402 | 2007-09-26 |
| 1215132550 | Elena Samoilova | Pathology | Uk Department of Pathology 800 Rose St, Ms147, Lexington, KY 40536-0298 | 2007-06-18 |
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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.