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BEREA HEALTH MINISTRY INC NPI 1467516450


NPI Information

NPI: 1467516450
Provider Name: BEREA HEALTH MINISTRY, INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 18D0892103

Address:
305 ESTILL STREET
BEREA, KY
ZIP 40403
Phone: (859) 986-1274
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BEREA HEALTH MINISTRY, INC is a rural health clinic center in Berea, KY. BEREA HEALTH MINISTRY, INC NPI is 1467516450. The provider is registered as an organization entity type.

The provider's business location address is:

305 ESTILL STREET
BEREA, KY
ZIP 40403-742
Phone: (859) 986-1274
Fax: (859) 986-1279

The provider's authorized official is Cappie L Parsons .
The authorized official title is Administrator and has the following contact phone number (859) 986-0485.

The CLIA number assigned to this NPI record is 18D0892103 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 2/10/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural Health261QR1300XKENTUCKYNo
2261QR1300XClinic/CenterRural HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
135-001718MEDICAIDKENTUCKY
235001718MEDICAIDKENTUCKY
3183925MEDICARE PINKENTUCKY

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: 4/28/2024

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.