| Berea Health Ministry, Inc | |
|
305 Estill Street Berea KY 40403-1742 | |
| (859) 986-1274 | |
| (859) 986-1279 |
| Full Name | Berea Health Ministry, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 305 Estill Street, Berea, Kentucky |
| Authorized Official Name and Position | Cappie L Parsons (ADMINISTRATOR) |
| Authorized Official Contact | 8599860485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berea Health Ministry, Inc 305 Estill Street Berea KY 40403-1742 Ph: (859) 986-1274 | Berea Health Ministry, Inc 305 Estill Street Berea KY 40403-1742 Ph: (859) 986-1274 |
| NPI Number | 1467516450 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 02/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467516450 | NPI | - | NPPES |
| 35001718 | Medicaid | KY | |
| 35-001718 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 261QR1300X (Kentucky) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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