BRECKINRIDGE HEALTH INC NPI 1790116390

NPI Information

NPI: 1790116390
Provider Name: BRECKINRIDGE HEALTH INC

Former Legal Business Name: BRECKINRIDGE HEALTH INC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1011 OLD US HWY 60
HARDINSBURG, KY
ZIP 40143
Phone: (270) 756-2424
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BRECKINRIDGE HEALTH INC is a family nurse practitioner in Hardinsburg, KY. BRECKINRIDGE HEALTH INC NPI is 1790116390. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Breckinridge Health Inc.

The provider's business location address is:

1011 OLD US HWY 60
HARDINSBURG, KY
ZIP 40143-575
Phone: (270) 756-2424
Fax: (270) 756-2525

The provider's authorized official is Mike Cooper .
The authorized official title is Ceo and has the following contact phone number (270) 756-7000.

The enumeration date for this NPI number is 12/6/2013 and was last updated on 12/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3003651	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	65940306	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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