NPIMap

Organization Active NPI

Appalachian Regional Healthcare, Inc.

  • Surgery Physician
  • Whitesburg, KY
National Provider Identifier
1497764401
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
APPALACHIAN REGIONAL HEALTHCARE, INC.
Practice address
214 Hospital Rd Ste a
Whitesburg, KY 41858-7627
Phone
(606) 633-2256
Fax
(606) 633-3814
NPI assigned
Aug 7, 2006
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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

214 Hospital Rd Ste a
Whitesburg, KY 41858-7627

Mailing address

214 Hospital Rd Ste a
Whitesburg, KY 41858-7627
Phone (606) 633-2256

Other names 1

  • Whitesburg ARH Surgical Clinic Other name

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

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
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

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.

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": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1497764401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL RD STE A",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-2256",
            "fax_number": "606-633-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL RD STE A",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-2256",
            "fax_number": "606-633-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN REGIONAL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "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": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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": "Whitesburg ARH Surgical Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Whitesburg ARH Surgical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whitesburg, KY

Sources for this page

Verify at the official NPI Registry.