340B Drug Pricing Program Database
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CAH181319-01 BRECKINRIDGE HEALTH, INC. (Active)
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Main Details
Name
BRECKINRIDGE HEALTH, INC.
Subdivision Name
CLOVERPORT HEALTH CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181319-01
Medicare Provider Number
181319
Outpatient Facility Provider Number
183412
Additional Details
Current Program Status
Active
Registration Date
6/28/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/28/2011
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Breckinridge Health, Inc.
Amy Arndell, Chief Financial Officer
(270) 756-6655
Primary Contact
Breckinridge Health, Inc
Harry Mattingly, Director of Pharmacy
(270) 756-6544
Addresses
Street Address
209 ELM STREET
CLOVERPORT, KY 40111
Billing Address
Breckinridge Health, Inc.
1011 Old Highway 60
Hardinsburg, KY 40143
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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