NPIMap

Organization Active NPI

Arh Tug Valley Health Services, Inc.

Doing business as ARH Wound Healing Center

  • Multi-Specialty Clinic/Center
  • Paintsville, KY
National Provider Identifier
1184388555
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ARH TUG VALLEY HEALTH SERVICES, INC.
Doing business as
ARH Wound Healing Center
Practice address
228 Church St
Paintsville, KY 41240-1012
Phone
(606) 788-9100
NPI assigned
Oct 22, 2021
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
APPALACHIAN REGIONAL HELATHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Ms. Hollie Harris
Title
President and Ceo
Phone
(859) 226-2511

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X

Addresses

Primary practice location

228 Church St
Paintsville, KY 41240-1012

Mailing address

100 Airport Gardens Rd
Hazard, KY 41701-9529
Phone (606) 216-5145

Other names 1

  • ARH Wound Healing Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190905002344 KY Part B Supplier - Clinic/Group Practice 4183953805 Receives reassigned benefits from 245 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Paintsville, KY; Prestonsburg, KY; Staffordsville, KY; Sulphur, KY; Wittensville, KY; Ashland, KY; Allen, KY; Blue River, KY…
O20211202000997 KY Part A Provider - Hospital 4183953805 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Paintsville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184388555. Details of each certification follow.

Hospital certification: CCN 180078

Legal name
ARH TUG VALLEY HEALTH SERVICES INC
Doing business as
PAINTSVILLE ARH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 20, 2017
Beds
72
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Enrollment address
625 James S. Trimble Blvd
Paintsville, KY 41240-1012
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 19

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

View all 19

Care Compare: Hospital

Medicare Care Compare
Listed as
Paintsville Arh HospitalCCN 180078 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1016060Arh Wound Healing Center228 Church Street, Paintsville, KY 41240Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory
Part of
Arh Consolidated Lab

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hollie Harris Individual Corporate OfficerPresident and Ceo May 10, 2021
Corporate DirectorBoard Member May 10, 2021
Appalachian Regional Healthcare Inc Organization, Lexington, KY Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jul 19, 2013 100%
Jonathan Collins Individual Corporate OfficerSecretary Nov 30, 2022
Byron Lynn Gabbard Individual Corporate OfficerTreasurer Nov 28, 2023
Vanessa Johnson Individual W-2 Managing EmployeeManager of Provider Enrollment Aug 1, 2017
Rocco Massey Individual Corporate DirectorBoard Member Aug 1, 2017

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 95

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1184388555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT GARDENS RD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019529",
            "telephone_number": "606-216-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 CHURCH ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401012",
            "telephone_number": "606-788-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARH TUG VALLEY HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN REGIONAL HELATHCARE, INC.",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "859-226-2511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ARH Wound Healing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARH Wound Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paintsville, KY

Sources for this page

Verify at the official NPI Registry.