NPIMap

Organization Active NPI

Arh Tug Valley Health Services, Inc.

Doing business as ARH Medical and Specialty Associates-Highlands

  • Rural Health Clinic/Center
  • Prestonsburg, KY
National Provider Identifier
1669123535
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
ARH Medical and Specialty Associates-Highlands
Practice address
5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone
(606) 886-7645
Fax
(606) 889-6206
NPI assigned
Jan 12, 2022
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
APPALACHIAN REGIONAL HELATHCARE, INC.As 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

5000 Ky Route 321
Prestonsburg, KY 41653-9113

Mailing address

100 Airport Gardens Rd Ste 311
Hazard, KY 41701-9529
Phone (606) 497-5702

Other names 1

  • ARH Medical and Specialty Associates-Highlands 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, DC3 enrollments

Enrollment records 3

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…
O20220330001808 KY Part A Provider - Rural Health Clinic 4183953805 Practice locations: Prestonsburg, KY
O20240210000162 DC Part B Supplier - Clinic/Group Practice 4183953805 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669123535. Details of each certification follow.

Rural health clinic certification: CCN 188553

Legal name
ARH TUG VALLEY HEALTH SERVICES INC
Doing business as
ARH MEDICAL AND SPECIALTY ASSOCIATES-HIGHLANDS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 20, 2022
Last certification
May 20, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jul 19, 2013 in KY
Enrollment address
5000 Ky Route 321
Prestonsburg, KY 41653-9113
Related CCNs
180005

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

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
18D0937847Arh Medical and Specialty Associates - Highlands5000 Ky Route 321, Prestonsburg, KY 41653Certificate of waiverJan 12, 2028

National Provider Directory

National Provider Directory
Part of
Summers Cnty Arh Hosp

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 6

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 OfficerPresident and Ceo May 10, 2021
Appalachian Regional Healthcare Inc Organization, Lexington, KY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 19, 2013 100%
Timothy Hatfield Individual W-2 Managing EmployeeCceo Mar 19, 2020
Danny Harris Individual Corporate OfficerChief Financial Officer May 1, 2013
Susan Renae Neace Individual W-2 Managing EmployeeSystem Director of Medical Affairs Jan 3, 2005
Roy Milwee Individual W-2 Managing EmployeeVP of Ambulatory Services 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 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1669123535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT GARDENS RD STE 311",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019529",
            "telephone_number": "606-497-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 KY ROUTE 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539113",
            "telephone_number": "606-886-7645",
            "fax_number": "606-889-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARH TUG VALLEY HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN REGIONAL HELATHCARE, INC.",
        "enumeration_date": "2022-01-12",
        "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": "ARH Medical and Specialty Associates-Highlands",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARH Medical and Specialty Associates-Highlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.