Provider Demographics
NPI:1598384745
Name:BRECKINRIDGE HEALTH CLINIC
Entity Type:Organization
Organization Name:BRECKINRIDGE HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:MUNDAY
Authorized Official - Last Name:ARMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-580-2250
Mailing Address - Street 1:203B FAIRGROUNDS RD
Mailing Address - Street 2:
Mailing Address - City:HARDINSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40143-2585
Mailing Address - Country:US
Mailing Address - Phone:270-756-2171
Mailing Address - Fax:270-756-2855
Practice Address - Street 1:203B FAIRGROUNDS RD
Practice Address - Street 2:
Practice Address - City:HARDINSBURG
Practice Address - State:KY
Practice Address - Zip Code:40143-2585
Practice Address - Country:US
Practice Address - Phone:270-756-2171
Practice Address - Fax:270-756-2855
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRECKINRIDGE HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty