APPALACHIAN REGIONAL HEALTHCARE, INC (NPI# 1801403092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801403092 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN REGIONAL HEALTHCARE, INC |
| Other Organization Name | ARH SPECIALTY ASSOCIATES - MIDDLESBORO |
| Practice Address |
3602 Cumberland Ave Ste B102 Middlesboro KY 40965-2614 |
| Mailing Address |
100 Airport Gardens Rd Hazard KY 41701-9529 |
| Practice Telephone | 6062421577 |
| Practice Fax Number | 6062421578 |
| Mailing Telephone | 6064877524 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | JOSEPH L GROSSMAN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8592262440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ARH Specialty Associates - Middlesboro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
| 1821202771 | Appalachian Regional Healthcare, Inc | Clinic/Center | Rt 550 Cowtown Rd, Hindman, KY 41822 | 2007-05-10 |
| 1528272127 | Appalachian Regional Healthcare, Inc | Clinic/Center | 238 Willie Faye Dr, Ary, KY 41712 | 2007-05-10 |
| 1013013382 | Appalachian Regional Healthcare, Inc | Skilled Nursing Facility | Route 122 Box 247, Mc Dowell, KY 41647-0247 | 2006-09-15 |
| 1215913959 | Appalachian Regional Healthcare, Inc | Pharmacy | 306 Hospital Dr Ste 105a, S Williamson, KY 41503-4023 | 2005-12-15 |
| 1447715370 | Appalachian Regional Healthcare, Inc | Family Medicine | 47 Highway 119 S Ste 3, Whitesburg, KY 41858-6100 | 2019-02-05 |
| 1528553757 | Appalachian Regional Healthcare, Inc | Clinic/Center | 2004 Cumberland Ave Ste 100, Middlesboro, KY 40965-1385 | 2018-06-29 |
| 1942792536 | Appalachian Regional Healthcare, Inc | Pharmacy | 181 Roy Campbell Dr, Hazard, KY 41701-9407 | 2018-05-31 |
| 1932606159 | Appalachian Regional Healthcare, Inc | Pharmacy | 200 Medical Center Dr, Suite A, Hazard, KY 41701-9466 | 2018-04-13 |
| 1659556272 | Appalachian Regional Healthcare, Inc | Hospice Care, Community Based | 100 Airport Gardens Rd, Hazard, KY 41701-9529 | 2008-01-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | APPALACHIAN REGIONAL HEALTHCARE, INC. | 2260 Executive Dr, Lexington, KY 40505-4808 |
| Street Address |
3602 CUMBERLAND AVE STE B102 |
| City | MIDDLESBORO |
| State | KY |
| Zip Code | 40965-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548277411 | Seymour S Kilstein | Urology | 3602 Cumberland Ave Ste B102, Middlesboro, KY 40965-2614 | 2006-08-02 |
| 1083118673 | Rachel Andrea Jones-tackett | Pediatrics | 3602 Cumberland Ave Ste B102, Middlesboro, KY 40965-2614 | 2018-03-20 |
| 1861939498 | Bright Future Primary Care | Family Medicine | 3602 Cumberland Ave Ste B102, Middlesboro, KY 40965-2614 | 2017-01-20 |
| 1598102832 | Radwa Clarissa Omar | Nurse Practitioner | 3602 Cumberland Ave Ste B102, Middlesboro, KY 40965-2614 | 2013-05-28 |
| 1780852020 | Carolyn Michelle Davis Rutherford | Nurse Practitioner | 3602 Cumberland Ave Ste B102, Middlesboro, KY 40965-2614 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396387064 | Christopher Bruce Ellison | Social Worker | 809 19th Street, Middlesboro, KY 40965 | 2019-10-14 |
| 1982255030 | Johnny Wade Nantz II | Case Manager/Care Coordinator | 809 N 19th St, Middlesboro, KY 40965 | 2019-09-20 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1558843227 | Bethany Lauren Wade | Case Manager/Care Coordinator | 19th St, 809, Middlesboro, KY 40965 | 2018-08-30 |
| 1124521505 | Sonya Joyce Mcneil | Speech-Language Pathologist | Kidabilities Pediatric Therapy Center, 2801 Highway 25e, Suite 98, Middlesboro, KY 40965 | 2018-03-13 |
| 1518499862 | Vikki Lynn Johnson | Case Manager/Care Coordinator | 809 North 19th Street, Middlesboro, KY 40965 | 2017-03-28 |
| 1184164287 | Wilson Jeffrey | Occupational Therapist | Address: 235 New Wilson Lane, Middlesboro, KY 40965 | 2017-03-08 |
| 1447797444 | Lesha Loretta Williams | Physician Assistant | 2004 Cumberland Ave Ste 100, Middlesboro, KY 40965 | 2017-01-27 |
| 1619423910 | Audra Anissa Hall | Physical Therapist | 108 Turner Lane, Middlesboro, KY 40965 | 2016-08-28 |
| 1700332061 | Tammy Mclain | Counselor | Selfrefind 809 North 19th Street, Middlesboro, KY 40965 | 2016-08-28 |
| Find all providers in zip 40965 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1982117271 | Triad Health Systems, Inc. | Clinic/Center | 2340 Highway 22 E, Owenton, KY 40359-9176 | 2017-11-09 |
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| Find all providers with the same taxonomy | ||||
| City | MIDDLESBORO |
| Zip Code | 40965 |
Please comment or provide details below to improve the information on APPALACHIAN REGIONAL HEALTHCARE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.