Healthcare Provider Details

I. General information

NPI: 1699751818
Provider Name (Legal Business Name): APPALACHIAN REGIONAL HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 STANAFORD RD
BECKLEY WV
25801-3140
US

IV. Provider business mailing address

250 STANAFORD RD
BECKLEY WV
25801-3140
US

V. Phone/Fax

Practice location:
  • Phone: 304-255-3598
  • Fax: 304-254-2792
Mailing address:
  • Phone: 304-255-3598
  • Fax: 304-254-2792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number550343
License Number StateWV

VIII. Authorized Official

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