Provider Demographics
NPI:1578702189
Name:APPALACHIAN HEALTHCARE, INC.
Entity Type:Organization
Organization Name:APPALACHIAN HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:ERNST-HOPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-614-3028
Mailing Address - Street 1:9330 HWY 194
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:NC
Mailing Address - Zip Code:28643-0184
Mailing Address - Country:US
Mailing Address - Phone:919-614-3028
Mailing Address - Fax:919-303-1533
Practice Address - Street 1:9330 HIGHWAY 194
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:NC
Practice Address - Zip Code:28643-0184
Practice Address - Country:US
Practice Address - Phone:919-614-3028
Practice Address - Fax:919-303-1533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18588261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health