MEDICARE: ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363L00000X	Nurse Practitioner
2	363LF0000X	Family Nurse Practitioner
3	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1740900075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	100 AIRPORT GARDENS RD
Second Line	:
City	:	HAZARD
State	:	KY
Zip	:	41701-9529
Country	:	US
Telephone Number	:	606-497-5702
Fax Number	:	606-439-6927

Provider Business Practice Location Address
First Line	:	431 REDDING RD STE 140
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-2551
Country	:	US
Telephone Number	:	859-226-2500
Fax Number	:	859-280-2595

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MS. HOLLIE P. HARRIS
Credential	:
Telephone Number	:	859-226-2511

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	09/18/2024

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