Healthcare Provider Details

I. General information

NPI: 1740537653
Provider Name (Legal Business Name): APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 HOSPITAL DRIVE SUITE 230
LINVILLE NC
28646-0765
US

IV. Provider business mailing address

336 DEERFIELD ROAD
BOONE NC
28607-5008
US

V. Phone/Fax

Practice location:
  • Phone: 828-737-7711
  • Fax: 828-737-7713
Mailing address:
  • Phone: 828-263-1211
  • Fax: 828-262-4103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY ETTA LONG
Title or Position: SR VP MEDICAL STAFF RELATIONS
Credential: RHIA-CPMSM
Phone: 828-262-4133