Healthcare Provider Details

I. General information

NPI: 1790747780
Provider Name (Legal Business Name): APPALACHIAN REGIONAL HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 STANAFORD ROAD
BECKLEY WV
25801
US

IV. Provider business mailing address

306 STANAFORD ROAD
BECKLEY WV
25801
US

V. Phone/Fax

Practice location:
  • Phone: 304-255-3000
  • Fax: 304-254-2786
Mailing address:
  • Phone: 304-255-3000
  • Fax: 859-226-2657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number45
License Number StateWV

VIII. Authorized Official

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