Provider Demographics
NPI:1336142181
Name:BRECKINRIDGE HEALTH INC.
Entity Type:Organization
Organization Name:BRECKINRIDGE HEALTH INC.
Other - Org Name:BHI FAMILY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-756-2424
Mailing Address - Street 1:105 CHAMBLISS DR
Mailing Address - Street 2:
Mailing Address - City:HARDINSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40143-2575
Mailing Address - Country:US
Mailing Address - Phone:270-756-2424
Mailing Address - Fax:270-756-2525
Practice Address - Street 1:105 CHAMBLISS DR
Practice Address - Street 2:
Practice Address - City:HARDINSBURG
Practice Address - State:KY
Practice Address - Zip Code:40143-2575
Practice Address - Country:US
Practice Address - Phone:270-756-2424
Practice Address - Fax:270-756-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY38740207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65941817Medicaid
KYCH7872OtherPALMETTO GBA
KYCH7872OtherPALMETTO GBA