NPIMap

Organization Active NPI

Appalachian Health Care Inc

Doing business as JC Family Healthcare

  • Family Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1316305253
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
APPALACHIAN HEALTH CARE INC
Doing business as
JC Family Healthcare
Practice address
48 Daniel Boone PLZ Ste a
Hazard, KY 41701-5334
Phone
(606) 487-9999
NPI assigned
Feb 7, 2016
Last updated
Apr 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Cynthea Williams, RN
Title
Owner
Phone
(606) 487-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

48 Daniel Boone PLZ Ste a
Hazard, KY 41701-5334

Mailing address

PO Box 889
Bulan, KY 41722-0889

Other names 1

  • JC Family Healthcare Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160407000776 KY Part B Supplier - Clinic/Group Practice 8123326139 Receives reassigned benefits from 3 practitioners
Practice locations: Hazard, KY
O20160916001588 KY Part A Provider - Rural Health Clinic 8123326139 Practice locations: Hazard, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316305253. Details of each certification follow.

Rural health clinic certification: CCN 188956

Legal name
APPALACHIAN HEALTH CARE INC
Doing business as
JC FAMILY HEALTH CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 21, 2017
Last certification
Mar 31, 2026
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Oct 16, 2015 in KY
Enrollment address
145 Citizens LN
Ste 202
Hazard, KY 41701-1462

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
18D2116585Appalachian HLTH Care Dba JC Family Health Care145 Citizens Lane Suite 202, Hazard, KY 41701Certificate of waiverJul 27, 2028

National Provider Directory

National Provider Directory

Locations

117 Corporate Dr
Ste 102
Hazard, KY 41701
Phone (606) 487-9999

145 Citizens Ln
Ste 102
Hazard, KY 41701
Phone (606) 487-9999

145 Citizens Ln
Ste 202
Hazard, KY 41701
Phone (606) 487-9999

48 Daniel Boone Plz
Ste A
Hazard, KY 41701
Phone (606) 487-9999

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Janie Combs Individual 5% Or Greater Direct Ownership InterestMedical Personnel Oct 16, 2015
Corporate OfficerCeo, President Oct 16, 2015
Corporate DirectorMedical Director Oct 16, 2015
W-2 Managing EmployeeMedical Staff/NP Oct 16, 2015

Owners & managing parties with NPI records 1

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

  • Janie Combs, ARNP
    • Nurse Practitioner
    • Hazard, KY
    • NPI 1962717132

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 12

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": "1454803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1316305253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889",
            "city": "BULAN",
            "state": "KY",
            "postal_code": "417220889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 DANIEL BOONE PLZ STE A",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417015334",
            "telephone_number": "606-487-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CYNTHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-487-9999",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.