Appalachian Regional Healthcare Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

APPALACHIAN REGIONAL HEALTHCARE INC.

Doing business as

ARH Pennington Gap Clinic

Practice address

121 Stacy Dr
Pennington Gap, VA 24277-1929

Phone

(276) 546-1182

Fax

(276) 546-2497

NPI assigned

Feb 16, 2016

Last updated

Sep 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hollie Harris

Title

President and Ceo

Phone

(859) 226-2511

Specialties & licenses 1

Addresses

Other names 1

• ARH Pennington Gap Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891154019. Details of each certification follow.

• CCN 493422 Rural health clinic · Active · Details

Rural health clinic certification: CCN 493422

Legal name

APPALACHIAN REGIONAL HEALTHCARE INC

Doing business as

ARH PENNINGTON GAP CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Dec 30, 2016

Last certification

Jun 14, 2023

Ownership / control type

2B

Organization structure

CorporationNon-profit

Incorporated

Jun 28, 1963 in KY

Enrollment address

121 Stacy Dr
Pennington Gap, VA 24277-1929

Related CCNs

180050

Related certifications (CCN) 1

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

• Appalachian Regional Healthcare, Inc.

  • General Acute Care Hospital
  • Harlan, KY
  • NPI 1306842521

  Parent provider

  Provider of Services

Tax ID family

Arh Consolidated Lab67 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

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

• Appalachian Regional Healthcare, Inc.

  dba ARH Pennington Gap Clinic

  • Family Medicine Physician
  • Pennington Gap, VA
  • NPI 1063821288
  NPD tax ID

All disclosed owners & managing parties 17

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Larry B Francis, MD

  • Emergency Medicine Physician
  • Hazard, KY
  • NPI 1740223726

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 24

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1891154019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 STACY DR",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242771929",
            "telephone_number": "276-546-1182",
            "fax_number": "276-546-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 STACY DR",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242771929",
            "telephone_number": "276-546-1182",
            "fax_number": "276-546-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN REGIONAL HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "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"
    },
    "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 Pennington Gap Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARH Pennington Gap Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherry Stapleton Aldrich, MS CCC-SLP
• Asghar Ali, MD
• Abdul-Latief Almatari, MD
• Appalachian Regional Healthcare, Inc. (ARH Pennington Gap Clinic)
• Ascension of the Phoenix Counseling
• Bahman-Payman
• Stephen Paul Bakeler, MD
• Stephanie W Baker, PT

• Rural Health Clinic/Center in Pennington Gap, VA
• Providers in Pennington Gap, VA by specialty
• Rural Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.