NPIMap

Organization Active NPI

Arh Tug Valley Health Services, Inc.

Doing business as Paintsville ARH Medical and Specialty Associates

  • Rural Health Clinic/Center
  • Paintsville, KY
National Provider Identifier
1609581479
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ARH TUG VALLEY HEALTH SERVICES, INC.
Doing business as
Paintsville ARH Medical and Specialty Associates
Practice address
604 James S. Trimble Blvd
Paintsville, KY 41240
Phone
(606) 788-0303
Fax
(606) 788-0310
NPI assigned
Jan 17, 2023
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
APPALACHIAN REGIONAL HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Mrs. Hollie P Harris
Title
President and Ceo
Phone
(859) 226-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

604 James S. Trimble Blvd
Paintsville, KY 41240

Mailing address

604James S. Trimble Blvd
Paintsville, KY 41240

Other names 1

  • Paintsville ARH Medical and Specialty Associates 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
O20190905002344 KY Part B Supplier - Clinic/Group Practice 4183953805 Receives reassigned benefits from 245 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Paintsville, KY; Prestonsburg, KY; Staffordsville, KY; Sulphur, KY; Wittensville, KY; Ashland, KY; Allen, KY; Blue River, KY…
O20230515000462 KY Part A Provider - Rural Health Clinic 4183953805 Practice locations: Paintsville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609581479. Details of each certification follow.

Rural health clinic certification: CCN 188563

Legal name
ARH TUG VALLEY HEALTH SERVICES INC
Doing business as
PAINTSVILLE ARH MEDICAL AND SPECIALTY ASSOCIATES
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 5, 2024
Last certification
Jan 5, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jul 19, 2013 in KY
Enrollment address
604 James S. Trimble Blvd
Paintsville, KY 41240
Related CCNs
180078

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

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 18

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

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Arh Tug Valley Health Inc13 organizations share this tax ID, including this one
Part of
Summers Cnty Arh Hosp

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Hollie Harris Individual Corporate OfficerBoard Member/President May 10, 2021
Corporate DirectorBoard Member/President May 10, 2021
W-2 Managing EmployeeBoard Member/President May 10, 2021
Appalachian Regional Healthcare Inc Organization, Lexington, KY Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 1, 2023 100%
Jonathan Collins Individual Corporate OfficerSecretary Nov 30, 2022
Susan Renae Neace Individual W-2 Managing EmployeeSys Dir Med Aff/Prov Enroll Jan 3, 2005
Roy Milwee Individual W-2 Managing EmployeeChief Ambulatory Officer May 9, 2016

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Practitioners & affiliated clinicians

Practitioners 5

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": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1609581479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604JAMES S. TRIMBLE BLVD",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "41240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 JAMES S. TRIMBLE BLVD",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "41240",
            "telephone_number": "606-788-0303",
            "fax_number": "606-788-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARH TUG VALLEY HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN REGIONAL HEALTHCARE, INC",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_middle_name": "P",
        "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": [],
    "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": "Paintsville ARH Medical and Specialty Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paintsville ARH Medical and Specialty Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paintsville, KY

Sources for this page

Verify at the official NPI Registry.