Provider Demographics
NPI:1790925469
Name:APPALACHIAN REGIONAL HEALTHCARE INC.
Entity Type:Organization
Organization Name:APPALACHIAN REGIONAL HEALTHCARE INC.
Other - Org Name:MORGAN COUNTY ARH HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVALCHIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-743-3186
Mailing Address - Street 1:476 LIBERTY ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST LIBERTY
Mailing Address - State:KY
Mailing Address - Zip Code:41472-2049
Mailing Address - Country:US
Mailing Address - Phone:606-743-3186
Mailing Address - Fax:606-743-3229
Practice Address - Street 1:476 LIBERTY ROAD
Practice Address - Street 2:
Practice Address - City:WEST LIBERTY
Practice Address - State:KY
Practice Address - Zip Code:41472-2049
Practice Address - Country:US
Practice Address - Phone:606-743-3186
Practice Address - Fax:606-743-3229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY01021773Medicaid
KY01021773Medicaid