NPIMap

Organization Active NPI

Appalachian Center for Excellence in Healthcare Inc

  • Family Nurse Practitioner
  • Coeburn, VA
National Provider Identifier
1003380759
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
APPALACHIAN CENTER FOR EXCELLENCE IN HEALTHCARE INC
Practice address
116 Centre Ave NE
Coeburn, VA 24230-3502
Phone
(276) 455-5556
Fax
(267) 455-5557
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paula Hill, FNP
Title
Clinical Director
Phone
(276) 455-5556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

116 Centre Ave NE
Coeburn, VA 24230-3502

Mailing address

116 Centre Ave NE
Coeburn, VA 24230-4023
Phone (276) 455-5556

Other practice location 1

927 Happy Valley Dr
Clintwood, VA 24228-7100
Phone (276) 926-2254

Other practice location 2

18765 Riverside Dr
Vansant, VA 24656-7003
Phone (276) 455-5556

Other practice location 3

5626 Patriot Dr
Wise, VA 24293-1138
Phone (276) 328-8850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190423002833 VA Part B Supplier - Clinic/Group Practice 6507108545 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Clintwood, VA; Coeburn, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

16410 Heritage Blvd
Fl 208
Bowie, MD 20716

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1003380759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CENTRE AVE NE",
            "city": "COEBURN",
            "state": "VA",
            "postal_code": "242304023",
            "telephone_number": "276-455-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CENTRE AVE NE",
            "city": "COEBURN",
            "state": "VA",
            "postal_code": "242303502",
            "telephone_number": "276-455-5556",
            "fax_number": "267-455-5557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 Happy Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242287100",
            "country_code": "US",
            "telephone_number": "276-926-2254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18765 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Vansant",
            "state": "VA",
            "postal_code": "246567003",
            "country_code": "US",
            "telephone_number": "276-455-5556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5626 Patriot Dr",
            "address_purpose": "LOCATION",
            "city": "Wise",
            "state": "VA",
            "postal_code": "242931138",
            "country_code": "US",
            "telephone_number": "276-328-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPALACHIAN CENTER FOR EXCELLENCE IN HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "276-455-5556",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.