1932109584 NPI number — APPALACHIAN REGIONAL HEALTHCARE, INC.

Table of content: (NPI 1932109584)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932109584 NPI number — APPALACHIAN REGIONAL HEALTHCARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APPALACHIAN REGIONAL HEALTHCARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BECKLEY ARH HOMECARE STORE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932109584
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/08/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ARH HOME SERVICES
Provider Second Line Business Mailing Address:
306 MORTON BLVD., SUITE A
Provider Business Mailing Address City Name:
HAZARD
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41701-9418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-487-6157
Provider Business Mailing Address Fax Number:
606-439-0375

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
260 STANAFORD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BECKLEY
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25801-3140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-254-2626
Provider Business Practice Location Address Fax Number:
304-252-1623
Provider Enumeration Date:
07/26/2005

Additional Information

Authorized Official

Authorized Official Last Name:
HARRIS
Authorized Official First Name:
HOLLIE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT AND CEO
Authorized Official Telephone Number:
859-226-2511

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BP3500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000069876 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 001705192 . This is a "MT. STATE BLUE CROSS" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 043459800 . This is a "FEDERAL BLACK LUNG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0023732011 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 57331 . This is a "NORTHWOOD NPN" identifier . This identifiers is of the category "OTHER".
  • Identifier: ========= . This is a "WV WORKERS COMP" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com