CMS-1500 Box 24J / 33a • NPI
1962040758
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207ZP0102X (CMS 22)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology
Box 32 Service Location & ZIP+4
130 KATE IRELAND DR, HYDEN, KY, 41749-9071
✓ 9-Digit EDI 837 ZIP+4 (41749-9071)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1962040758 (ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1962040758 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology NUCC Code: 207ZP0102X (Pathology, Anatomic Pathology & Clinical Pathology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 130 KATE IRELAND DR, HYDEN, KY, 41749-9071 |
| Practice Telephone / Fax | Tel: (606) 672-2901 |
| Administrative Mailing Address | 100 AIRPORT GARDENS RD, HAZARD, KY, 41701-9529 |
| Enumeration & Last Sync | Enumerated: 2019-12-12 | CMS Record Updated: 2024-09-19 |
| Authorized Official | HOLLIE HARRIS (President and CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207ZP0102X)
What Does Taxonomy Code 207ZP0102X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ZP0102X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207ZP0102X — Pathology, Anatomic Pathology & Clinical PathologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology | State: N/A | License: Verified | Primary: Yes (Primary) |
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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