APPALACHIAN REGIONAL HEALTHCARE, INC. (NPI# 1962765578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962765578 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN REGIONAL HEALTHCARE, INC. |
| Other Organization Name | MIDDLESBORO ARH PRIMARY CARE CENTER |
| Practice Address |
3602 Cumberland Ave Suite 104 Middlesboro KY 40965-2614 |
| Mailing Address |
Po Box 340 Middlesboro KY 40965-0340 |
| Practice Telephone | 6062421503 |
| Practice Fax Number | 6062421508 |
| Mailing Telephone | 6062421503 |
| Mailing Fax Number | 6062421508 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |
| Authorized Official Name | JERRY W HAYNES (CEO) |
| Authorized Official Telephone | 8592262440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Middlesboro ARH Primary Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639212 | Appalachian Regional Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 5080 Ky Route 321 Ste A, Prestonsburg, KY 41653-9160 | 2019-10-07 |
| 1891154019 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 121 Stacy Dr, Pennington Gap, VA 24277-1929 | 2016-02-16 |
| 1780043927 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 1084 Highway 7, Suite 2, West Liberty, KY 41472-7146 | 2016-02-16 |
| 1407260284 | Appalachian Regional Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 166 Mary Breckinridge Drive, Suite A, Hyden, KY 41749-9071 | 2014-06-19 |
| 1407294838 | Appalachian Regional Healthcare, Inc. | Internal Medicine | 405 Carriage Drive, Beckley, WV 25801 | 2013-06-07 |
| 1184062549 | Appalachian Regional Healthcare, Inc. | Urology | 407 Carriage Drive, Beckley, WV 25801 | 2013-06-07 |
| 1922342070 | Appalachian Regional Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 37 Ball Park Road, Suite 3, Harlan, KY 40831-1793 | 2012-11-15 |
| 1932415882 | Appalachian Regional Healthcare, Inc. | Internal Medicine | 3004 Cumberland Avenue, Suite 3, Middlesboro, KY 40965 | 2010-08-28 |
| 1740507920 | Appalachian Regional Healthcare, Inc. | Surgery | 210 Black Gold Boulevard, Suite 103, Hazard, KY 41701-2620 | 2010-04-27 |
| 1811122344 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 2662 King Kelly Coleman Hwy, Wayland, KY 41666 | 2009-05-28 |
| 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 SUITE 104 |
| City | MIDDLESBORO |
| State | KY |
| Zip Code | 40965-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861506552 | Vicente Yu Kaw Jr. | Internal Medicine | 3602 Cumberland Ave, Arh Professional Building, Middlesboro, KY 40965-2614 | 2006-08-18 |
| 1073050886 | Amy Shelton | Nurse Practitioner | 3602 Cumberland Ave, Ste. B102, Middlesboro, KY 40965-2614 | 2017-01-31 |
| 1386901254 | Christy Johnson | Nurse Practitioner | 3602 Cumberland Ave, Middlesboro, KY 40965-2614 | 2012-04-18 |
| 1386817773 | Sunrise Pediatrics Pllc | Pediatrics | 3602 Cumberland Ave, Suite B103, Middlesboro, KY 40965-2614 | 2008-04-08 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1154966778 | Member Medical, Inc. | Clinic/Center | 3046 Dolphin Dr Ste 104, Elizabethtown, KY 42701-7182 | 2019-11-07 |
| 1104384213 | Directcare Family Health, Pllc | Clinic/Center | 525 High St Ste 209, Paris, KY 40361-1849 | 2019-03-07 |
| 1407311194 | Quad/med, LLC | Clinic/Center | 739 S Dixie St, Horse Cave, KY 42749 | 2019-02-06 |
| 1265906192 | Core Chiropractic and Family Wellness Pllc | Clinic/Center | 524 E.second St, Lexington, KY 40508 | 2019-01-14 |
| 1134606403 | Hope Primary & Urgent Care Pllc | Clinic/Center | 2157 S Highway 27, Stearns, KY 42647-6297 | 2018-07-19 |
| 1780177618 | Access Med, Pllc | Clinic/Center | 642 E Lexington Ave, Danville, KY 40422-1719 | 2018-06-14 |
| 1447743760 | Remedy House Calls | Clinic/Center | 37 Christopher Dr, South Shore, KY 41175-9447 | 2018-06-12 |
| 1932611019 | Family Care Professional Limited Liability Company | Clinic/Center | 3190 Irvine Rd., Richmond, KY 40475-4047 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLESBORO |
| Zip Code | 40965 |
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| 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.