Healthcare Provider Details

I. General information

NPI: 1366561797
Provider Name (Legal Business Name): APPALACHIAN REGIONAL HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18880 N US HIGHWAY 119
CUMBERLAND KY
40823
US

IV. Provider business mailing address

18880 N US HIGHWAY 119
CUMBERLAND KY
40823-8106
US

V. Phone/Fax

Practice location:
  • Phone: 606-589-0130
  • Fax: 606-589-0135
Mailing address:
  • Phone: 606-589-0130
  • Fax: 606-589-0135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. HOLLIE HARRIS
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 859-226-2511