NPIMap

Organization Active NPI

Appalachian Regional Healthcare, Inc.

Doing business as ARH Middlesboro Internal Medicine Clinic

  • Internal Medicine Physician
  • Middlesboro, KY
National Provider Identifier
1932415882
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
APPALACHIAN REGIONAL HEALTHCARE, INC.
Doing business as
ARH Middlesboro Internal Medicine Clinic
Practice address
3004 Cumberland Avenue
Suite 3
Middlesboro, KY 40965
Phone
(606) 248-3324
NPI assigned
Aug 28, 2010
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
Ms. Hollie Harris
Title
President and Ceo
Phone
(859) 226-2511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

3004 Cumberland Avenue
Suite 3
Middlesboro, KY 40965

Mailing address

3004 Cumberland Avenue
Suite 3
Middlesboro, KY 40965
Phone (606) 248-3324

Other identifiers 1

IdentifierTypeStateIssuer
7100138140MedicaidKY

Other names 1

  • ARH Middlesboro Internal Medicine Clinic 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 KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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
O20071204000004 KY Part A Provider - Hospital 0840107835 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Middlesboro, KY
O20101202000841 KY Part B Supplier - Other Medical Care Group 0840107835 Receives reassigned benefits from 17 practitioners
Practice locations: Middlesboro, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932415882. Details of each certification follow.

Hospital certification: CCN 180020

Legal name
APPALACHIAN REGIONAL HEALTHCARE INC
Doing business as
MIDDLESBORO ARH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 3, 2003
Beds
96
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1963 in KY
Enrollment address
3600 Cumberland Ave
Middlesboro, KY 40965-2614
Other Hospital Practice Location
Hospital subgroups
General, Children’s, Swing-bed approved

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

Other NPIs on the same Medicare enrollment 37

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

View all 37

Care Compare: Hospital

Medicare Care Compare
Listed as
Middlesboro Arh HospitalCCN 180020 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

3004 Cumberland Ave
Ste 3
Middlesboro, KY 40965
Phone (606) 248-3324

3602 Cumberland Ave
Ste B101
Middlesboro, KY 40965
Phone (606) 242-1380

306 Hospital Dr
Ste 201
South Williamson, KY 41503

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 OfficerCeo & President May 10, 2021
Gregory Couch Individual Corporate DirectorBoard Member Nov 8, 2013
Martha N Ellis Individual Corporate DirectorBoard Member Nov 8, 2024
Maria Benoit Braman Individual Corporate OfficerOfficer 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 OfficerSecretary 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 2, 2023
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

Practitioners & affiliated clinicians

Practitioners 18

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 18

Affiliated clinicians 135

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 135

NPI Registry JSON

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1932415882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 CUMBERLAND AVENUE",
            "address_2": "SUITE 3",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-248-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 CUMBERLAND AVENUE",
            "address_2": "SUITE 3",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-248-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN REGIONAL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-28",
        "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": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100138140",
            "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": "ARH Middlesboro Internal Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARH Middlesboro Internal Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.