Organization
APPALACHIAN REGIONAL HEALTHCARE, INC.
Active
Other names
Middlesboro ARH Homecare Store
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLIE HARRIS (PRESIDENT AND CEO)
(859) 226-2511
Entity
Organization
Contact information
Practice address
1217 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1160
(606) 248-2225
Mailing address
306 MORTON BLVD STE A, HAZARD, KY 41701-9437
(606) 487-6151
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069876
ANTHEM
—
01
—
048930000
FEDERAL BLACK LUNG
—
05
—
4581358
—
TN
05
—
45902509
—
KY
01
—
57327
NORTHWOOD/NPN
—
05
—
90030073
—
KY
05
—
9108963
—
VA
Enumeration date
10/05/2005
Last updated
09/20/2024
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