Organization Active NPI

Appalachian Health and Wellness LLC

Doing business as Appalachian Health of Ohio

  • Clinic/Center
  • Athens, OH
National Provider Identifier
1194526681
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
APPALACHIAN HEALTH AND WELLNESS LLC
Doing business as
Appalachian Health of Ohio
Appalachian Telehealth
Practice address
1005 E State St
Athens, OH 45701-2151
Phone
(740) 249-9276
NPI assigned
Mar 21, 2025
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Brandon BolhaNPI 1073328407
Title
Nurse Practitioner
Phone
(740) 249-9276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1005 E State St
Athens, OH 45701-2151

Mailing address

1005 E State St Ste J
Athens, OH 45701-2151
Phone (740) 249-9276

Other names 3

  • Appalachian Health of Ohio Doing business as
  • Appalachian Telehealth Doing business as
  • Appalachian Health of Ohio Family Practice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251009003173 OH Part B Supplier - Clinic/Group Practice 0547767022 Receives reassigned benefits from 1 practitioner
Practice locations: Athens, OH

National Provider Directory

National Provider Directory

Locations

1 Ohio University
Athens, OH 45701
Phone (740) 593-0902

1005 E State St
Ste J
Athens, OH 45701
Phone (740) 249-9276

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1194526681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E STATE ST STE J",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012151",
            "telephone_number": "740-249-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012151",
            "telephone_number": "740-249-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "BOLHA",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "740-249-9276"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Health of Ohio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Appalachian Telehealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Appalachian Health of Ohio Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.