Provider Demographics
NPI:1740275320
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 1:260 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:SOUTH WILLIAMSON
Practice Address - State:KY
Practice Address - Zip Code:41503-4072
Practice Address - Country:US
Practice Address - Phone:606-237-1716
Practice Address - Fax:606-237-1738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV=========OtherWV WORKERS COMP. NUMBER
WV0001551002Medicaid
WV001742055OtherMOUNTIAN ST. BC/BS NUMBER
KY34002980Medicaid
KY=========OtherGENERAL NUMBER
KY000000054419OtherBC/BS PROVIDER NUMBER
KY45344231Medicaid
WV0001551002Medicaid