Appalachian Regional Healthcare, Inc.
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · South Williamson, KY
NPI 1679658199 · NPPES record last updated Aug 28, 2025
Key facts
- NPI
- 1679658199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- Legal business name
- APPALACHIAN REGIONAL HEALTHCARE, INC.
- Practice address
- 260 Hospital Dr
South Williamson, KY 41503-4072 - Phone
- (606) 237-1700
- Fax
- (606) 237-1701
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Hollie Harris
- Title
- President and Ceo
- Phone
- (859) 226-2511
Other NPIs on the same Medicare enrollment 41
Practitioners 17
-
Robert B Davis, MD
-
Marjorie Haas, M.D.
-
Augustus C Key, D.O.
-
Frank Lee, M.D.
-
Julie Hausmann, MD
-
Fausto Imbing, MD
-
Alka A. Wells, M.D.
-
Steven L Woolley, MD
-
Priscilla Gooslin, CFNP
-
Charles E. Johnson II, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (18 enrollments) in KY, WV, PA, FL, NC, NV, OH, MI, CA, IL, MO, GA, KS, AZ, AL, TX, WA, RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 This NPI is an additional NPI on the enrollment Practice locations: Beckley, WV; Oak Hill, WV; Lochelly, WV; Hurricane, WV; Huntington, WV; Hinton, WV; Glen Morgan, WV; Fayetteville, WV… |
| O20210707000108 | PA | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 1 practitioner 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pittsburgh, PA |
| O20210708000425 | FL | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 5 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gulf Breeze, FL; Port Charlotte, FL; Wellington, FL; Gainesville, FL |
| O20220124002662 | NC | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 5 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mills River, NC; Mooresville, NC; Weaverville, NC; Weddington, NC; Davidson, NC |
| O20220805000230 | NV | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 1 practitioner 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Las Vegas, NV |
| O20220820000109 | OH | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 19 practitioners 13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Minford, OH; Olmsted TWP, OH; Peninsula, OH; South Point, OH; Sugarcrk TWP, OH; Wheelersburg, OH; Wintersville, OH; Lucasville, OH… |
| 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 |
| O20230508001080 | CA | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 2 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Corona del Mar, CA; Woodland Hills, CA |
| O20230721000206 | IL | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 4 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Burr Ridge, IL; Chicago, IL; Darien, IL; Rockford, IL |
| O20231004000485 | MO | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 2 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Creve Coeur, MO; Kansas City, MO |
| O20231108001261 | GA | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 2 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the 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 |
| O20250729002461 | AZ | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 4 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Phoenix, AZ; Paradise Valley, AZ; Mesa, AZ; Chandler, AZ |
| O20250804002680 | AL | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 2 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Florence, AL; Theodore, AL |
| O20250818001679 | TX | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 4 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Colleyville, TX; Laredo, TX; Bellaire, TX; Austin, TX |
| O20250929000411 | WA | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 1 practitioner 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Moses Lake, WA; Richland, WA |
| O20260330000013 | RI | Part B Supplier - Clinic/Group Practice | 0840107835 |
Receives reassigned benefits from 1 practitioner 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Providence, RI |
National Provider Directory
Locations
24 Left Penhook Rd
Harold, KY 41635
Phone (606) 478-8787
306 Hospital Dr
Ste 200E
South Williamson, KY 41503
306 Hospital Dr
Ste 201A
South Williamson, KY 41503
1110 N Buckner Blvd
Dallas, TX 75218
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | Yes | ||
| Pediatrics Physician |
208000000X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Physician Assistant |
363A00000X | |||
| Medical Physician Assistant |
363AM0700X | |||
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
260 Hospital Dr
South Williamson, KY 41503-4072
Mailing address
260 Hospital Dr
South Williamson, KY 41503-4072
Phone (606) 237-1700
Other practice location 1
100 Airport Gardens Rd
Hazard, KY 41701-9529
Phone (606) 216-1429
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001551005 | Medicaid | WV | |
| 7100542610 | Medicaid | KY | |
| 000155100S | Medicaid | KY |
Other names
- Tug Valley ARH Regional Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in South Williamson, KY
- Appalachian Regional Healthcare Inc
- Appalachian Regional Healthcare, Inc.
- Appalachian Regional Healthcare, Inc.
- Appalachian Regional Healthcare, Inc.
- Appalachian Regional Healthcare, Inc.
- Appalachian Regional Healthcare, Inc.
- Arh Advanced Care, Inc.
- Autumn Kimberlee Baisden
- Walid Elie Baz
- Amanda Bentley
All providers in South Williamson, KY · Anatomic Pathology & Clinical Pathology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.