Organization
BEREA HEALTH MINISTRY, INC
Active
Parent organization
BEREA HEALTH MINISTRY, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEREA HEALTH MINISTRY, INC
Authorized official
CAPPIE L PARSONS (ADMINISTRATOR)
(859) 986-0485
Entity
Organization
Contact information
Practice address
305 ESTILL STREET, BEREA, KY 40403-1742
(859) 986-1274
(859) 986-1279
Mailing address
305 ESTILL STREET, BEREA, KY 40403-1742
(859) 986-1274
(859) 986-1279
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
261QR1300X
KY
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35-001718
—
KY
05
—
35001718
—
KY
Enumeration date
12/21/2006
Last updated
02/10/2010
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