Provider Demographics
NPI:1235566332
Name:BRECKINRIDGE HEALTH INC
Entity Type:Organization
Organization Name:BRECKINRIDGE HEALTH INC
Other - Org Name:MCDANIELS FAMILY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:S
Authorized Official - Last Name:AREHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-805-1042
Mailing Address - Street 1:9798 S HIGHWAY 259
Mailing Address - Street 2:
Mailing Address - City:MC DANIELS
Mailing Address - State:KY
Mailing Address - Zip Code:40152-7227
Mailing Address - Country:US
Mailing Address - Phone:270-902-4411
Mailing Address - Fax:
Practice Address - Street 1:9798 S HIGHWAY 259
Practice Address - Street 2:
Practice Address - City:MC DANIELS
Practice Address - State:KY
Practice Address - Zip Code:40152-7227
Practice Address - Country:US
Practice Address - Phone:270-756-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Single Specialty