APPALACHIAN REGIONAL HEALTHCARE (NPI# 1932202447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932202447 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN REGIONAL HEALTHCARE |
| Other Organization Name | ARH SOUTHERN WV CLINIIC |
| Practice Address |
436 Elizabeth Way Fayetteville WV 25840 |
| Mailing Address |
Po Box 9 Hinton WV 25951-0009 |
| Practice Telephone | 3044662944 |
| Practice Fax Number | 3044662943 |
| Mailing Telephone | 3044662944 |
| Mailing Fax Number | 3044662943 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | MRS. BETTY M BUTLER (CLINIC SUPERVISOR) |
| Authorized Official Telephone | 3044662944 |
| Is Organization Subpart | Y |
| Parent Organization Name | APPALACHIAN REGIONAL HEATLHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | RAILROAD MEDICARE GROUP | CA3006 | 01 |
| WV | 3810003801 | 05 | |
| WV | MEDICARE GROUP PART B | 9274807 | 01 |
| Other Name | Type Code |
|---|---|
| ARH SOUTHERN WV CLINIIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952446452 | Appalachian Regional Healthcare | Clinical Medical Laboratory | 476 Liberty Rd., West Liberty, KY 41472-0579 | 2007-02-21 |
| 1487724332 | Appalachian Regional Healthcare | Clinic/Center | Rt 550 Cow Town Rd, Hindman, KY 41822 | 2006-11-08 |
| 1942302427 | Appalachian Regional Healthcare | Clinic/Center | 1455 Robert C Byrd Dr, Crab Orchard, WV 25827-9441 | 2006-09-03 |
| 1447376363 | Appalachian Regional Healthcare | General Acute Care Hospital | 3600 Cumberland Ave, Middlesboro, KY 40965-2614 | 2007-03-22 |
| 1669509394 | Appalachian Regional Healthcare | General Acute Care Hospital | 3600 Cumberland Ave, Middlesboro, KY 40965-2614 | 2007-02-28 |
| 1841393352 | Appalachian Regional Healthcare | Clinic/Center | 1109 Greenbrier Street, Rupert, WV 25984 | 2006-09-07 |
| 1972610681 | Appalachian Regional Healthcare | Home Health | 493 Main St, West Liberty, KY 41472-1013 | 2006-08-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | APPALACHIAN REGIONAL HEALTHCARE FOUNDATION | 336 Deerfield Rd, Boone, NC 28607-5008 |
| System for Award Management (SAM) Entities | APPALACHIAN REGIONAL HEALTHCARE SYSTEM | 336 Deerfield Road, Boone, NC 28607-5008 |
| System for Award Management (SAM) Entities | APPALACHIAN REGIONAL HEALTHCARE, INC. | 2260 Executive Dr, Lexington, KY 40505-4808 |
| Street Address |
436 ELIZABETH WAY |
| City | FAYETTEVILLE |
| State | WV |
| Zip Code | 25840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447766639 | Nancy Carol Myles | Technician | 171 Wood Rd, Fayetteville, WV 25840 | 2017-12-26 |
| 1598933954 | Kembra Anne Crist | Registered Nurse | 111 Fayette Avenue, Fayette County Boe, Fayetteville, WV 25840 | 2008-02-19 |
| 1003004854 | Edward Lee Winter | Psychologist | 111 Fayette Ave., Fayette County Schools, Fayetteville, WV 25840 | 2007-10-05 |
| 1811109432 | Anita Louise Swanson | Physical Therapist | 111 Fayette Ave, Fayetteville, WV 25840 | 2007-05-04 |
| 1003964008 | Krista L Copenhaver-mackowiak | Nurse Anesthetist, Certified Registered | 613 Crooked Run Rd, Fayetteville, WV 25840 | 2007-01-08 |
| 1922171024 | Carl Arthur Hansen | Dentist | 215 North Court St, Fayetteville, WV 25840 | 2006-11-16 |
| 1154424810 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Whitewater Ave, Fayetteville, WV 25840 | 2006-09-07 |
| 1447241310 | Karen L. Pettry-hultman | Family Medicine | Rr 3 Box 9, Fayetteville, WV 25840 | 2005-10-31 |
| 1598125577 | Jeanne Black | Registered Nurse | 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 | 2016-03-03 |
| 1992165039 | Lori Atkins | Registered Nurse | 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 | 2016-03-02 |
| Find all providers in zip 25840 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683032 | Red Earth Acupuncture | Clinic/Center | 1836 Highway 54 W, Fayetteville, GA 30214-4742 | 2019-05-06 |
| 1477033728 | Swetnam Cosmetic Surgery, Pllc | Clinic/Center | 1695 E Rainforest Rd Ste 3, Fayetteville, AR 72703-5385 | 2018-08-16 |
| 1023500725 | Greenbrook Tms Fayetteville LLC | Clinic/Center | 1991 Fordham Dr Ste 202, Fayetteville, NC 28304-3774 | 2018-05-30 |
| 1871013367 | Shiloh Health and Longevity | Clinic/Center | 1794 E Joyce Blvd Ste 1, Fayetteville, AR 72703-5257 | 2017-06-26 |
| 1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
| 1407017965 | Correctiona Medical Associates | Clinic/Center | 205 Mcintosh Place Dr, Fayetteville, GA 30214-7384 | 2008-06-18 |
| 1376728154 | Massage Therapeutics, Inc Center for Wellness | Clinic/Center | 500 Lanier Ave W Ste 411, Fayetteville, GA 30214-7638 | 2007-12-30 |
| 1578767299 | Kidzplex Fitness | Clinic/Center | 1830q Owen Dr, Fayetteville, NC 28304-3421 | 2007-06-14 |
| 1114067519 | Rediclinic LLC | Clinic/Center | 3911 North Mall Avenue, Fayetteville, AR 72703 | 2007-02-07 |
| 1992320089 | One Stick Medical Academy | Clinic/Center | 101 Beckett Ln Ste 505, Fayetteville, GA 30214-7160 | 2020-06-15 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 25840 |
Please comment or provide details below to improve the information on APPALACHIAN REGIONAL HEALTHCARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.