Organization
MARY BRECKINRIDGE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALLIE S. NOBLE (ADMINISTRATOR)
(606) 672-3162
Entity
Organization
Contact information
Practice address
100 HOSPITAL DR, HYDEN, KY 41749-8957
(606) 672-2901
(606) 672-3626
Mailing address
100 HOSPITAL DR, HYDEN, KY 41749-8957
(606) 672-2901
(606) 672-3626
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
282NC0060X
Critical Access Hospital
Primary
60067
KY
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01021815
—
KY
Enumeration date
05/28/2006
Last updated
02/02/2010
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