BRECKINRIDGE HEALTH INC. NPI 1245236900

NPI Information

  • NPI: 1245236900
  • Provider Name: BRECKINRIDGE HEALTH, INC.
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: CLOVERPORT HEALTH CLINIC
  • CLIA Number: 18D0909451
  • Address: 209 ELM ST
    CLOVERPORT, KY
    ZIP 40111
  • Phone: (270) 788-3000

Map and Directions

Get Directions

NPI Details

BRECKINRIDGE HEALTH, INC. is a rural health clinic center in Cloverport, KY. BRECKINRIDGE HEALTH, INC. NPI is 1245236900. The provider is registered as an organization entity type.
The provider Is Doing Business As Cloverport Health Clinic.

The provider's business location address is:

209 ELM ST
CLOVERPORT, KY
ZIP 40111-324
Phone: (270) 788-3000
Fax: (270) 788-6201

The provider's authorized official is Mandy J Butler .
The authorized official title is Nurse Practitioner and has the following contact phone number (270) 788-3000.

The CLIA number assigned to this NPI record is 18D0909451 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 3/29/2017.

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
1261Q00000XClinic/Center900053KENTUCKYNo
2261QR1300XClinic/CenterRural Health900053KENTUCKYYes

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
11049478OTHERKENTUCKYPASSPORT
235000587MEDICAIDKENTUCKY
3183412MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.