Organization
BRECKINRIDGE HEALTH INC
Active
Parent organization
BRECKINRIDGE HEALTH INC
Other names
Breckinridge Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRECKINRIDGE HEALTH INC
Authorized official
MRS. ANGELA PORTMAN (CEO)
(270) 756-6569
Entity
Organization
Contact information
Practice address
107 OLD HWY 60, HARDINSBURG, KY 40143
(270) 756-7000
Mailing address
1011 OLD HIGHWAY 60, HARDINSBURG, KY 40143-2519
(270) 756-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/04/2016
Last updated
12/28/2017
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