Provider Demographics
NPI:1952446452
Name:APPALACHIAN REGIONAL HEALTHCARE
Entity Type:Organization
Organization Name:APPALACHIAN REGIONAL HEALTHCARE
Other - Org Name:MORGAN CO. ARH CRITICAL ACCESS HOSPITAL REFERENCE LAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-226-2511
Mailing Address - Street 1:476 LIBERTY ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST LIBERTY
Mailing Address - State:KY
Mailing Address - Zip Code:41472-0579
Mailing Address - Country:US
Mailing Address - Phone:606-743-3186
Mailing Address - Fax:606-743-3229
Practice Address - Street 1:476 LIBERTY RD.
Practice Address - Street 2:
Practice Address - City:WEST LIBERTY
Practice Address - State:KY
Practice Address - Zip Code:41472-0579
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:2007-02-21
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY18D0648588291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000054411OtherBLUE CROSS