Healthcare Provider Details

I. General information

NPI: 1093227431
Provider Name (Legal Business Name): BRECKINRIDGE HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 10/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 OLD HIGHWAY 60
HARDINSBURG KY
40143-2519
US

IV. Provider business mailing address

1011 OLD HIGHWAY 60
HARDINSBURG KY
40143-2519
US

V. Phone/Fax

Practice location:
  • Phone: 270-756-7000
  • Fax:
Mailing address:
  • Phone: 270-756-6564
  • Fax: 270-580-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGELA FAYE PORTMAN
Title or Position: CEO
Credential:
Phone: 270-756-6569