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NPI Code Detail

MEDICARE: BEREA HOSPITAL INC.

MEDICARE: BEREA HOSPITAL INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital100318KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2100318OTHERKYSTATE LICENSE

General Provider Information

NPI Number : 1457335390
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEREA HOSPITAL INC.
Provider Business Mailing Address
First Line : 305 ESTILL ST
Second Line :
City : BEREA
State : KY
Zip : 40403-1742
Country : US
Telephone Number : 859-986-6500
Fax Number : 859-986-6317
Provider Business Practice Location Address
First Line : 305 ESTILL ST
Second Line :
City : BEREA
State : KY
Zip : 40403-1742
Country : US
Telephone Number : 859-986-6500
Fax Number : 859-986-6317
Authorized Official
Title or Position : PRESIDENT/CEO
Name : ANGELA P. CARMAN
Credential :
Telephone Number : 859-986-6500
Provider Enumeration Date : 12/05/2005
Last Update Date : 08/22/2020

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Directions to “BEREA HOSPITAL INC. ” Practice Location

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