Organization Active NPI

Appalachian Regional Healthcare, Inc

Doing business as Middlesboro ARH Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Middlesboro, KY
National Provider Identifier
1811005598
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
APPALACHIAN REGIONAL HEALTHCARE, INC
Doing business as
Middlesboro ARH Hospital
Practice address
3600 Cumberland Ave
Middlesboro, KY 40965-2614
Phone
(606) 242-1422
Fax
(606) 242-1111
NPI assigned
Aug 25, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

3600 Cumberland Ave
Middlesboro, KY 40965-2614

Mailing address

3600 Cumberland Ave
P.O. Box 340
Middlesboro, KY 40965-2614
Phone (606) 242-1422

Other identifiers 2

IdentifierTypeStateIssuer
100019OtherKYLICENSE
12700472MedicaidKY

Other names 1

  • Middlesboro ARH Hospital 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071204000025 KY Part A Provider - Hospital 0840107835 Practice locations: Middlesboro, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811005598. Details of each certification follow.

Hospital certification: CCN 18U020

Legal name
APPALACHIAN REGIONAL HEALTHCARE INC
Doing business as
MIDDLESBORO ARH HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jun 27, 1963 in KY
Enrollment address
3600 West Cumberland Ave
Middlesboro, KY 40965-2614
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

National Provider Directory

National Provider Directory
Tax ID family
Arh Consolidated Lab67 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Ownership & related parties

All disclosed owners & managing parties 19

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 OfficerChief Medical Officer 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 OfficerChief Legal Officer 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
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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1811005598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CUMBERLAND AVE",
            "address_2": "P.O. BOX 340",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652614",
            "telephone_number": "606-242-1422",
            "fax_number": "606-242-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652614",
            "telephone_number": "606-242-1422",
            "fax_number": "606-242-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN REGIONAL HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "100019",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12700472",
            "state": "KY"
        }
    ],
    "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": "Middlesboro ARH Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Middlesboro ARH Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.