Appalachian Regional Healthcare, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

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

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

Addresses

Other identifiers 1

Other names 1

• ARH Whitesburg Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336355601. Details of each certification follow.

• CCN 188511 Rural health clinic · Active · Details

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

Related certifications (CCN) 4

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

• Appalachian Regional Healthcare, Inc.

  dba Whitesburg ARH Hospital

  • General Acute Care Hospital
  • Whitesburg, KY
  • NPI 1194723726

  Parent provider

  Provider of Services
• Appalachian Regional Healthcare, Inc.

  dba Jenkins ARH Family Care Center

  • Clinic/Center
  • Jenkins, KY
  • NPI 1235373358

  Parent provider

  Provider of Services
• Appalachian Regional Healthcare, Inc.

  • Surgery Physician
  • Whitesburg, KY
  • NPI 1497764401

  Parent provider

  Provider of Services
• Appalachian Regional Healthcare, Inc.

  dba ARH Whitesburg Clinic

  • Multi-Specialty Clinic/Center
  • Whitesburg, KY
  • NPI 1821204199

  Parent provider

  Provider of Services

Other NPIs on the same Medicare enrollment 1

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

• Appalachian Regional Healthcare, Inc.

  dba ARH Whitesburg Clinic

  • Multi-Specialty Clinic/Center
  • Whitesburg, KY
  • NPI 1245446517

  O20170727002219

  Same enrollment

Locations

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.

Owners & managing parties with NPI records 2

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

• Dustin Scott Campbell, M.D.

  • Surgery Physician
  • Whitesburg, KY
  • NPI 1982858973

  Corporate Director

  CMS ownership
• Larry B Francis, MD

  • Emergency Medicine Physician
  • Hazard, KY
  • NPI 1740223726

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 24

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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": "1336355601",
    "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100350450",
            "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"
        }
    ]
}

• Appalachian Heals, Inc.
• Appalachian Regional Healthcare Inc
• Appalachian Regional Healthcare, Inc
• Appalachian Regional Healthcare, Inc. (Whitesburg ARH Hospital)
• Appalachian Regional Healthcare, Inc. (ARH Whitesburg Clinic)
• Appalachian Regional Healthcare, Inc. (Whitesburg Arh Home Health Agency)
• Appalachian Regional Healthcare, Inc.
• Appalachian Regional Healthcare, Inc.
• Appalachian Regional Healthcare, Inc. (ARH Whitesburg Clinic)
• Appalachian Rehabilitation Team, Inc. (East Kentucky Physical Therapy and Sports Clinic)

• Rural Health Clinic/Center in Whitesburg, KY
• Providers in Whitesburg, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.