NPIMap

Organization Active NPI

Appalachian Regional Healthcare, Inc

Doing business as ARH Southern West Virginia Clinic

  • Family Medicine Physician
  • Beckley, WV
National Provider Identifier
1477510162
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
APPALACHIAN REGIONAL HEALTHCARE, INC
Doing business as
ARH Southern West Virginia Clinic
Practice address
250 Stanaford Rd
Beckley, WV 25801-3140
Phone
(304) 254-2604
NPI assigned
Apr 27, 2006
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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Hematology & Oncology Physician 207RH0003X
Psychiatric Hospital Unit 273R00000X
Nurse Practitioner 363L00000X
Acute Care Nurse Practitioner 363LA2100X

Addresses

Primary practice location

250 Stanaford Rd
Beckley, WV 25801-3140

Mailing address

100 Airport Gardens Rd
Hazard, KY 41701-9529
Phone (606) 487-7503

Other identifiers 1

IdentifierTypeStateIssuer
001708672OtherWVWV. BLUE CROSS GROUP

Other names 1

  • ARH Southern West Virginia 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 KY, WV, SC, MI, GA, KS, NJ8 enrollments

Enrollment records 8

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
O20031210000688 WV Part B Supplier - Clinic/Group Practice 0840107835 Receives reassigned benefits from 114 practitioners
13 other NPIs on this enrollment
Practice locations: Beckley, WV; Oak Hill, WV; Lochelly, WV; Hurricane, WV; Huntington, WV; Hinton, WV; Glen Morgan, WV; Fayetteville, WV…
O20070807000413 WV Part A Provider - Hospital 0840107835 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beckley, WV; Glen Morgan, WV
O20220202000961 SC Part B Supplier - Clinic/Group Practice 0840107835 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Daniel Island, SC; Mt Pleasant, SC; Rock Hill, SC
O20221104001507 MI Part B Supplier - Clinic/Group Practice 0840107835 Receives reassigned benefits from 5 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ann Arbor, MI; Okemos, MI; Northville, MI; Bloomfield Hills, MI; Bloomfield Township, MI
O20231108001261 GA Part B Supplier - Clinic/Group Practice 0840107835 Receives reassigned benefits from 2 practitioners
8 other NPIs on this enrollment
Practice locations: Saint Marys, GA; Lawrenceville, GA
O20240104004106 KS Part B Supplier - Clinic/Group Practice 0840107835 Receives reassigned benefits from 3 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Park City, KS; Lawrence, KS; Overland Park, KS
O20240930002199 NJ Part B Supplier - Clinic/Group Practice 0840107835 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477510162. Details of each certification follow.

Hospital certification: CCN 510062

Legal name
APPALACHIAN REGIONAL HEALTHCARE INC
Doing business as
BECKLEY ARH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 1, 2011
Beds
173
Ownership / control type
Private (not for profit)
Most recent change of ownership
Apr 1, 1998 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1963 in KY
Enrollment address
306 Stanaford Rd
Beckley, WV 25801-3142
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 38

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

View all 38

Care Compare: Hospital

Medicare Care Compare
Listed as
Beckley Arh HospitalCCN 510062 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

200 Medical Dr
Ste 2M
Hazard, KY 41701
Phone (606) 436-0686

2004 Cumberland Ave
Ste 100
Middlesboro, KY 40965
Phone (606) 248-3015

1256 N Eisenhower Dr
Ste 200
Beckley, WV 25801
Phone (304) 254-2637

1256 N Eisenhower Dr
Ste 700
Beckley, WV 25801
Phone (304) 254-2415

179 Woodland Dr
Beckley, WV 25801
Phone (304) 254-5690

250 Stanaford Rd
Ste 104
Beckley, WV 25801
Phone (304) 254-2620

250 Stanaford Rd
Ste 105
Beckley, WV 25801
Phone (304) 254-2619

250 Stanaford Rd
Ste 200
Beckley, WV 25801
Phone (304) 254-2863

250 Stanaford Rd
Ste 206
Beckley, WV 25801

1500 Terrace St
Hinton, WV 25951
Phone (304) 466-2905

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
Sonya Bergman Individual Corporate OfficerOfficer Nov 5, 2021
Hollie Harris Individual Corporate OfficerPresident and Ceo Aug 15, 2005
Gregory Couch Individual Corporate DirectorBoard Member Nov 8, 2013
Martha N Ellis Individual Corporate DirectorBoard Member Nov 8, 2024
Maria Benoit Braman Individual Corporate OfficerOfficer Mar 7, 2016
Eric F Smith Individual Corporate DirectorBoard Member Nov 7, 2025
Andrea Massey Individual Corporate DirectorBoard Member Nov 8, 2019
Christi Lee Individual Corporate OfficerSecretary Nov 5, 2021
Angela Hatton Individual Corporate DirectorBoard Member Nov 7, 2025
Joann Anderson Individual Corporate DirectorBoard Member Nov 2, 2017
Robert Wilson Individual Corporate DirectorBoard Member Nov 7, 2025
Samuel Dunn Individual Corporate DirectorBoard Member Nov 5, 2021
Jeffrey Hollon Individual Corporate DirectorBoard Member Nov 2, 2012
Byron Lynn Gabbard Individual Corporate OfficerTreasurer Nov 2, 2023
Vanessa Johnson Individual W-2 Managing EmployeeManager of Provider Enrollment Aug 1, 2017
Randall Evans Individual Corporate DirectorBoard Member Nov 8, 2013
Karen Newman Individual Corporate DirectorBoard Member Nov 11, 2022
Michael Rust Individual Corporate DirectorBoard Member Nov 8, 2019
Andrew T Howell Individual W-2 Managing EmployeeAd; Jan 29, 2024
Ken Allman Individual Corporate DirectorBoard Member Nov 8, 2019

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 24

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

FacilityTypeRoleSince
Harlan Arh HospitalHarlan, KY, CCN 18S050 Hospital 5% Or Greater Direct Ownership Interest
Other		 Jan 1, 1966
Jan 1, 1966
Mary Breckinridge Arh HospitalHyden, KY, CCN 181316 Hospital Operational/Managerial Control (100%) Sep 7, 2011
Barbourville Arh HospitalBarbourville, KY, CCN 18Z328 Hospital 5% Or Greater Direct Ownership Interest (100%) May 31, 2011
Barbourville Arh HospitalBarbourville, KY, CCN 181328 Hospital 5% Or Greater Direct Ownership Interest (100%) May 31, 2011
Arh Our Lady of the WayMartin, KY, CCN 18Z305 Hospital 5% Or Greater Direct Ownership Interest (100%) May 31, 2011
Arh Our Lady of the WayMartin, KY, CCN 181305 Hospital 5% Or Greater Direct Ownership Interest (100%) May 31, 2011
Highlands Arh Regional Medical CenterPrestonsburg, KY, CCN 180005 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 19, 2013
Highlands Arh Regional Medical CenterPrestonsburg, KY, CCN 18S005 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 19, 2013
Paintsville Arh HospitalPaintsville, KY, CCN 180078 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 19, 2013
Arh Advanced Care - Big SandySouth Williamson, KY, CCN 182010 Hospital 5% Or Greater Direct Ownership Interest (100%) May 5, 2021
Arh Advance Care-Ky RiverHazard, KY, CCN 182011 Hospital 5% Or Greater Direct Ownership Interest (100%) May 5, 2021
Mary Breckinridge Arh HospitalHyden, KY, CCN 18Z316 Hospital Operational/Managerial Control Sep 7, 2011
Appalachian Regional Healthcare IncHarlan, KY, CCN 187025 Home health agency 5% Or Greater Indirect Ownership Interest Sep 10, 2008
Mary Breckinridge Arh Home Health AgencyHyden, KY, CCN 187001 Home health agency 5% Or Greater Direct Ownership Interest (100%) May 31, 2011
Highlands Arh Home Health AgencyPrestonsburg, KY, CCN 187169 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 19, 2013
Hyden Arh ClinicHyden, KY, CCN 183472 Rural health clinic Operational/Managerial Control (100%) Sep 7, 2011
Arh Cumberland Valley MedicalBarbourville, KY, CCN 183497 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 31, 2011
Arh Cumberland Valley Medical and Surgical AssociatesMiddlesboro, KY, CCN 188519 Rural health clinic Operational/Managerial Control (100%) May 31, 2011
Arh Women's and Family Health Center - MiddlesboroMiddlesboro, KY, CCN 188520 Rural health clinic Operational/Managerial Control (100%) Jun 8, 2018
Arh Primary Care Associates - NJMartin, KY, CCN 183442 Rural health clinic Operational/Managerial Control (100%) May 31, 2011
Arh Primary Care Associates - NiMartin, KY, CCN 183440 Rural health clinic Operational/Managerial Control (100%) May 31, 2011
Arh Cumberland Valley Medical and Specialty AssociatesMiddlesboro, KY, CCN 188540 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 31, 2011
Arh Medical and Specialty Associates-HighlandsPrestonsburg, KY, CCN 188553 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 19, 2013
Paintsville Arh Medical and Specialty AssociatesPaintsville, KY, CCN 188563 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2023

Practitioners & affiliated clinicians

Practitioners 126

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.

View all 126

Affiliated clinicians 178

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

View all 178

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1477510162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT GARDENS RD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019529",
            "telephone_number": "606-487-7503",
            "fax_number": "606-439-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013140",
            "telephone_number": "304-254-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN REGIONAL HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV. BLUE CROSS GROUP",
            "identifier": "001708672",
            "state": "WV"
        }
    ],
    "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 Southern West Virginia Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.