NPIMap

Organization Active NPI

Appalachian Regional Healthcare, Inc.

Doing business as ARH Whitesburg Clinic

  • Multi-Specialty Clinic/Center
  • Whitesburg, KY
National Provider Identifier
1245446517
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
APPALACHIAN REGIONAL HEALTHCARE, INC.
Doing business as
ARH Whitesburg Clinic
Practice address
214 Hospital Rd
Whitesburg, KY 41858-7627
Phone
(606) 633-3631
Fax
(606) 633-6204
NPI assigned
May 15, 2007
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

214 Hospital Rd
Whitesburg, KY 41858-7627

Mailing address

214 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-3631

Other identifiers 1

IdentifierTypeStateIssuer
65921587MedicaidKY

Other names 1

  • ARH Whitesburg Clinic 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
O20170727002219 KY Part A Provider - Rural Health Clinic 0840107835 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whitesburg, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245446517. Details of each certification follow.

Rural health clinic certification: CCN 188511

Legal name
APPALACHIAN REGIONAL HEALTHCARE INC
Doing business as
ARH WHITESBURG CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 1, 2017
Last certification
Dec 7, 2016
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1963 in KY
Enrollment address
214 Hospital Rd
Whitesburg, KY 41858-7627
Related CCNs
180002

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

National Provider Directory

National Provider Directory

Locations

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

Ownership & related parties

All disclosed owners & managing parties 20

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 & 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 Jul 1, 2023
Joann Anderson Individual Corporate DirectorBoard Member Nov 2, 2017
Gregory Pauley Individual Corporate DirectorBoard Member Nov 5, 2010
Dustin S Campbell Individual Corporate DirectorBoard Member Nov 11, 2022
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
Onzie Sizemore Individual Corporate DirectorBoard Member Nov 5, 2014
Karen Newman Individual Corporate DirectorBoard Member Nov 11, 2022
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
Edith Kelly Individual Corporate DirectorBoard Member Nov 11, 2022
Ken Allman Individual Corporate DirectorBoard Member Nov 8, 2019
Roy Milwee Individual W-2 Managing EmployeeVice President of Ambulatory Servic May 9, 2016

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 10

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1245446517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-3631",
            "fax_number": "606-439-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-3631",
            "fax_number": "606-633-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN REGIONAL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65921587",
            "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": "ARH Whitesburg Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARH Whitesburg Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitesburg, KY

Sources for this page

Verify at the official NPI Registry.