Organization
BRECKINRIDGE HEALTH, INC.
Active
Organization
BRECKINRIDGE HEALTH, INC.
Active
Parent organization
BRECKINRIDGE HEALTH, INC.
Other names
Cloverport Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRECKINRIDGE HEALTH, INC.
Authorized official
MRS. MANDY J BUTLER ARNP (NURSE PRACTITIONER)
(270) 788-3000
Entity
Organization
Contact information
Practice address
215 ELM ST, CLOVERPORT, KY 40111-1324
(270) 788-3000
(270) 788-6201
Mailing address
215 ELM ST, CLOVERPORT, KY 40111-1324
(270) 788-3000
(270) 788-6201
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
900053
KY
261QR1300X
Rural Health Clinic/Center
Primary
900053
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1049478
PASSPORT
KY
05
—
35000587
—
KY
Enumeration date
06/27/2005
Last updated
04/30/2026
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