Provider Demographics
NPI:1003380759
Name:APPALACHIAN CENTER FOR EXCELLENCE IN HEALTHCARE INC
Entity type:Organization
Organization Name:APPALACHIAN CENTER FOR EXCELLENCE IN HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:276-455-5556
Mailing Address - Street 1:116 CENTRE AVE NE
Mailing Address - Street 2:
Mailing Address - City:COEBURN
Mailing Address - State:VA
Mailing Address - Zip Code:24230-4023
Mailing Address - Country:US
Mailing Address - Phone:276-455-5556
Mailing Address - Fax:
Practice Address - Street 1:116 CENTRE AVE NE
Practice Address - Street 2:
Practice Address - City:COEBURN
Practice Address - State:VA
Practice Address - Zip Code:24230-3502
Practice Address - Country:US
Practice Address - Phone:276-455-5556
Practice Address - Fax:267-455-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty