NPIMap

Organization Active NPI

Appalachian Regional Healthcare, Inc.

Doing business as Jenkins ARH Family Care Center

  • Clinic/Center
  • Jenkins, KY
National Provider Identifier
1235373358
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
APPALACHIAN REGIONAL HEALTHCARE, INC.
Doing business as
Jenkins ARH Family Care Center
Practice address
9480 Highway 805
Jenkins, KY 41537-8182
Phone
(606) 832-2171
Fax
(606) 832-3130
NPI assigned
Apr 21, 2009
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

9480 Highway 805
Jenkins, KY 41537-8182

Mailing address

PO Box 520
West Liberty, KY 41472-0520
Phone (606) 743-2033

Other identifiers 1

IdentifierTypeStateIssuer
7100104740MedicaidKY

Other names 1

  • Jenkins ARH Family Care 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
O20031125000520 KY Part B Supplier - Clinic/Group Practice 0840107835 Receives reassigned benefits from 432 practitioners
48 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20071015000470 KY Part A Provider - Hospital 0840107835 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whitesburg, KY; Jenkins, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235373358. Details of each certification follow.

Hospital certification: CCN 180002

Legal name
APPALACHIAN REGIONAL HEALTHCARE INC
Doing business as
WHITESBURG ARH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 6, 2002
Beds
90 (71 certified)
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1963 in KY
Enrollment address
240 Hospital Rd
Whitesburg, KY 41858-7627
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Swing-bed approved

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

Other NPIs on the same Medicare enrollment 36

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

View all 36

Care Compare: Hospital

Medicare Care Compare
Listed as
Whitesburg Arh HospitalCCN 180002 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Arh Consolidated Lab67 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Gregory a Wilson Individual Corporate DirectorBoard Member Nov 8, 2019
Hollie Harris Individual Corporate OfficerPresident and Ceo May 10, 2021
Gregory Couch Individual Corporate DirectorBoard Member Nov 8, 2013
Maria Benoit Braman Individual Corporate OfficerChief Medical Officer Mar 7, 2016
Andrea Massey Individual Corporate DirectorBoard Member Nov 8, 2019
Julie Rose Individual Corporate DirectorBoard Member Nov 5, 2014
Christi Lee Individual Corporate OfficerChief Legal Officer Nov 5, 2021
Joann Anderson Individual Corporate DirectorBoard Member Nov 2, 2017
Gregory Pauley Individual Corporate DirectorBoard Member Nov 5, 2010
Bessie Ellen Wright Individual Corporate OfficerChief Nursing Officer May 1, 2010
Samuel Dunn Individual Corporate DirectorBoard Member Nov 5, 2021
Jeffrey Hollon Individual Corporate DirectorBoard Member Nov 2, 2012
Larry B Francis Individual Corporate DirectorBoard Member Nov 2, 2017
Randall Evans Individual Corporate DirectorBoard Member Nov 8, 2013
Onzie Sizemore Individual Corporate DirectorBoard Member Nov 5, 2014
Theodore T Myre Individual Corporate DirectorBoard Member Nov 2, 2017
Danny Harris Individual Corporate OfficerChief Financial Officer May 1, 2013
Susan Renae Neace Individual W-2 Managing EmployeeSys. Dir of Med. Aff and Enrollment Jan 3, 2005
Michael Rust Individual Corporate DirectorBoard Member Nov 8, 2019
Ken Allman Individual Corporate DirectorBoard Member Nov 8, 2019
Joanna L Santiesteban Individual Corporate DirectorBoard Member Nov 6, 2020

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 125

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

View all 125

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1235373358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414720520",
            "telephone_number": "606-743-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 HIGHWAY 805",
            "city": "JENKINS",
            "state": "KY",
            "postal_code": "415378182",
            "telephone_number": "606-832-2171",
            "fax_number": "606-832-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN REGIONAL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "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": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100104740",
            "state": "KY"
        }
    ],
    "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": "Jenkins ARH Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jenkins ARH Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jenkins, KY

Sources for this page

Verify at the official NPI Registry.