Healthcare Provider Details

I. General information

NPI: 1932606159
Provider Name (Legal Business Name): APPALACHIAN REGIONAL HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 ROY CAMPBELL DRIVE
HAZARD KY
41701-9466
US

IV. Provider business mailing address

PO BOX 602
WEST LIBERTY KY
41472-0602
US

V. Phone/Fax

Practice location:
  • Phone: 606-487-6201
  • Fax: 859-286-1590
Mailing address:
  • Phone: 606-743-2033
  • Fax: 606-743-2078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberP08003
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

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