APPALACHIAN CENTER FOR EXCELLENCE IN HEALTHCARE INC
NPI 1003380759
Nurse Practitioner - Family in Coeburn, VA

Active since January 16, 2019CLIA Certified · 2 labs
116 CENTRE AVE NE, COEBURN, VA 24230(276) 455-5556(267) 455-5557 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2024, Aug 6, 2024, Feb 28, 2023 and 3 more (6 updates tracked since 2019).

About Appalachian Center For Excellence In Healthcare Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APPALACHIAN CENTER FOR EXCELLENCE IN HEALTHCARE INC (NPI 1003380759) is a healthcare organization registered as a family in Coeburn, Virginia and active in the NPI registry since January 2019. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Paula Hill, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1003380759
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAPPALACHIAN CENTER FOR EXCELLENCE IN HEALTHCARE INC
Location Address116 CENTRE AVE NECoeburn, VA 24230-3502
Mailing Address116 Centre Ave NeCoeburn, VA 24230-4023 · (276) 455-5556
Fax(267) 455-5557
Organization SubpartNo
Authorized OfficialPaula HillClinical Director · (276) 455-5556
Enumeration DateJanuary 16, 2019
Last NPPES UpdateNovember 20, 20246 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
NPI 1003380759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
116 CENTRE AVE NE, Coeburn, VA 24230

Secondary Practice Locations 2

Location 1927 Happy Valley DrClintwood, VA 24228-7100 · Phone (276) 926-2254
Location 25626 Patriot DrWise, VA 24293-1138 · Phone (276) 328-8850

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2252186

Appalachian Center For Excellence In Healthcare Inc · Coeburn, VA
Active · expires Feb 8, 2028
CLIA Number49D2252186
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorTeresa O. Tyson
Laboratory Phone(276) 231-0039
Laboratory LocationAppalachian Center For Excellence In Healthcare Inc116 Centre Ave NE, Coeburn, VA 24230
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2166998

Appalachian Ctr For Excellence In Healthcare · Coeburn, VA
Active · expires May 29, 2027
CLIA Number49D2166998
Laboratory TypePractitioner Other
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorTeresa Tyson
Laboratory Phone(276) 328-8850
Laboratory LocationAppalachian Ctr For Excellence In Healthcare208 Front St, Coeburn, VA 24230
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
116 CENTRE AVE NE
COEBURN, VA 24230
Internal Medicine
116 CENTRE AVE NE
COEBURN, VA 24230
Nurse Practitioner (Family)
116 CENTRE AVE NE
COEBURN, VA 24230
Clinic/Center (Rural Health)
116 CENTRE AVE NE
COEBURN, VA 24230
Nurse Practitioner (Psychiatric/Mental Health)
116 CENTRE AVE NE
COEBURN, VA 24230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Appalachian Center For Excellence In Healthcare Inc's NPI number?

The NPI number for Appalachian Center For Excellence In Healthcare Inc is 1003380759. It was assigned to this organization in the NPPES registry on January 16, 2019.

Where is Appalachian Center For Excellence In Healthcare Inc located?

Appalachian Center For Excellence In Healthcare Inc is located at 116 Centre Ave NE, Coeburn, VA 24230. The listed phone number is (276) 455-5556.

What is Appalachian Center For Excellence In Healthcare Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Appalachian Center For Excellence In Healthcare Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Appalachian Center For Excellence In Healthcare Inc was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.