Provider Demographics
NPI:1649271776
Name:APPALACHIAN REGIONAL HEALTHCARE, INC.
Entity type:Organization
Organization Name:APPALACHIAN REGIONAL HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MRS
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:ARH HOME SERVICES
Mailing Address - Street 2:306 MORTON BLVD., SUITE A
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-9418
Mailing Address - Country:US
Mailing Address - Phone:606-487-6157
Mailing Address - Fax:606-439-0375
Practice Address - Street 1:113 LB&T WAY
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:WV
Practice Address - Zip Code:25601-3485
Practice Address - Country:US
Practice Address - Phone:304-583-6676
Practice Address - Fax:304-583-7312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
001705189OtherMT. STATE BLUE CROSS
57324OtherNORTHWOOD/NPN
000000069876OtherANTHEM
049378400OtherFEDERAL BLACK LUNG
WV0023732006Medicaid
VA9154477Medicaid
VA9154477Medicaid
0445810004Medicare ID - Type Unspecified