Organization
BEREA HOSPITAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA P. CARMAN (PRESIDENT/CEO)
(859) 986-6500
Entity
Organization
Contact information
Practice address
305 ESTILL ST, BEREA, KY 40403-1742
(859) 986-6500
(859) 986-6317
Mailing address
305 ESTILL ST, BEREA, KY 40403-1742
(859) 986-6500
(859) 986-6317
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
100318
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01009042
—
KY
01
—
100318
STATE LICENSE
KY
Enumeration date
12/05/2005
Last updated
08/22/2020
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