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ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.

Company Details

Name: ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 31 May 2011 (14 years ago)
Organization Date: 31 May 2011 (14 years ago)
Last Annual Report: 17 May 2024 (a year ago)
Organization Number: 0792685
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 40505
City: Lexington
Primary County: Fayette County
Principal Office: 2260 EXECUTIVE DRIVE, LEXINGTON, KY 40505
Place of Formation: KENTUCKY

Director

Name Role
JOE GROSSMAN Director
BYRON GABBARD Director
CHRISTI LEE Director
ANDREA MASSEY Director
RUSSELL BENTLEY Director
JERRY HAYNES Director

Registered Agent

Name Role
CHRISTI LEE Registered Agent

Secretary

Name Role
CHRISTI LEE Secretary

Treasurer

Name Role
BYRON GABBARD Treasurer

President

Name Role
HOLLIE P HARRIS President

Incorporator

Name Role
RICK KING Incorporator

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
JSKMYF9NR163
CAGE Code:
928D5
UEI Expiration Date:
2025-06-05

Business Information

Activation Date:
2024-06-07
Initial Registration Date:
2021-06-10

National Provider Identifier

NPI Number:
1740900075
Certification Date:
2024-09-18

Authorized Person:

Name:
MS. HOLLIE P. HARRIS
Role:
PRESIDENT AND CEO
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6064396927
Fax:
8592802595

Assumed Names

Name Status Expiration Date
ARH CUMBERLAND VALLEY PHARMACY Active 2030-02-14
ARH OUR LADY OF THE WAY HOSPITAL PHARMACY Active 2029-12-16
BARBOURVILLE ARH SPECIALTY PHARMACY Active 2029-06-26
ARH CUMBERLAND VALLEY MEDICAL & SURGICAL ASSOCIATES - BARBOURVILLE Active 2028-11-12
ARH MEDICAL ASSOCIATES Active 2028-06-23

Filings

Name File Date
Assumed Name renewal 2025-02-14
Assumed Name renewal 2024-12-16
Assumed Name renewal 2024-06-26
Annual Report 2024-05-17
Annual Report Amendment 2023-12-15

USAspending Awards / Financial Assistance

Date:
2021-07-23
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM
Obligated Amount:
445761.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
45-2696517
In Care Of Name:
% JERRY W HAYNES
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2014-07
National Taxonomy Of Exempt Entities:
Health Care: Hospital, General
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2025-01-03 2025 Justice & Public Safety Cabinet Department Of Corrections Other Personnel Costs Employee Health Examinations 800
Executive 2024-12-09 2025 Justice & Public Safety Cabinet Kentucky State Police Non Pro Contract Lab Tests & Anal Fees 1099 Rep 38
Executive 2024-10-28 2025 Justice & Public Safety Cabinet Kentucky State Police Non Pro Contract Lab Tests & Anal Fees 1099 Rep 76
Executive 2024-10-09 2025 Justice & Public Safety Cabinet Kentucky State Police Non Pro Contract Lab Tests & Anal Fees 1099 Rep 38
Executive 2023-09-22 2024 Justice & Public Safety Cabinet Kentucky State Police Non Pro Contract Lab Tests & Anal Fees 1099 Rep 29

Sources: Kentucky Secretary of State