ARH MEDICAL MALL FAMILY SPECIALTY CLINIC
NPI 1407420698
Clinic/Center - Rural Health in Hazard, KY

Active since May 13, 2021CLIA 18D2225699 · Microscopy
210 BLACK GOLD BLVD, HAZARD, KY 41701(606) 487-7000 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2024, May 17, 2021, May 13, 2021 (3 updates tracked since 2021).

About Arh Medical Mall Family Specialty Clinic NPPES

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

ARH MEDICAL MALL FAMILY SPECIALTY CLINIC (NPI 1407420698) is a healthcare organization registered as a rural health in Hazard, Kentucky and active in the NPI registry since May 2021. The organization holds a CLIA Microscopy certificate valid through June 25, 2027 and lists Hollie Harris, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1407420698
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameAPPALACHIAN REGIONAL HEALTHCARE, INC.
Location Address210 BLACK GOLD BLVDHazard, KY 41701-2620
Mailing Address100 Airport Gardens RdHazard, KY 41701-9529 · (606) 216-5145
Organization SubpartNo
Authorized OfficialHollie HarrisPresident And Ceo · (859) 226-2511
Enumeration DateMay 13, 2021
Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1407420698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
210 BLACK GOLD BLVD, Hazard, KY 41701

Other Names 1

Doing Business AsArh Medical Mall Family Specialty Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arh Medical Mall Family Specialty Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20210628002074Part A · Rural Health ClinicDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

416

Medicare enrollment records show 416 clinicians reassign Medicare billing to Arh Medical Mall Family Specialty Clinic, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 85 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Nurse Practitioner117
Internal Medicine35
Family Practice34
Diagnostic Radiology26
Obstetrics/Gynecology26
General Surgery23
Urology21
Pediatric Medicine14
34 other specialties120

Nearest to this location (20)

See all 416
Nurse Practitioner
NPI 1558814962
210 BLACK GOLD BLVD STE 210
Hazard, KY 41701
(606) 487-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619821972
210 BLACK GOLD BLVD
Hazard, KY 41701
(606) 487-7000
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1316321276
210 BLACK GOLD BLVD
Hazard, KY 41701
(606) 487-7000
✔ PECOS✔ Accepts MedicareSame address
Cardiac Surgery
NPI 1710951942
210 BLACK GOLD BLVD
Hazard, KY 41701
(606) 487-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083038210
210 BLACK GOLD BLVD STE 106
Hazard, KY 41701
(606) 436-0711
✔ PECOSSame address
Family Practice
NPI 1174547210
210 BLACK GOLD BLVD
Hazard, KY 41701
(606) 436-0711
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1760484216
210 BLACK GOLD BLVD STE 106
Hazard, KY 41701
(606) 436-0711
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851808919
210 BLACK GOLD BLVD STE 106
Hazard, KY 41701
(606) 436-0711
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1750567251
210 BLACK GOLD BLVD STE 210
Hazard, KY 41701
(606) 487-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578224622
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1306425814
181 ROY CAMPBELL DR
Hazard, KY 41701
(606) 439-6779
✔ PECOS✔ Accepts Medicare2.1 mi
Family Practice
NPI 1669575981
181 ROY CAMPBELL DR
Hazard, KY 41701
(606) 439-1316
✔ PECOS✔ Accepts Medicare2.1 mi
Physical Medicine and Rehabilitation
NPI 1245470426
181 ROY CAMPBELL DR
Hazard, KY 41701
(606) 439-1316
✔ PECOS✔ Accepts Medicare2.1 mi
Pediatric Medicine
NPI 1962084624
181 ROY CAMPBELL DR
Hazard, KY 41701
(606) 439-1316
✔ PECOS2.1 mi
Emergency Medicine
NPI 1740223726
277 ROY CAMPBELL DR
Hazard, KY 41701
(606) 435-1708
✔ PECOS✔ Accepts Medicare2.1 mi
Hematology/Oncology
NPI 1033348768
110 MEDICAL CENTER DR
Hazard, KY 41701
(606) 439-6600
✔ PECOS✔ Accepts Medicare2.2 mi
Radiation Oncology
NPI 1659389039
110 MEDICAL CENTER DR
Hazard, KY 41701
(606) 487-7902
✔ PECOS✔ Accepts Medicare2.2 mi
Surgical Oncology
NPI 1699724021
200 MEDICAL CENTER DR
Hazard, KY 41701
(606) 439-6782
✔ PECOS2.2 mi
General Surgery
NPI 1134476732
200 MEDICAL CENTER DRIVE
Hazard, KY 41701
(606) 439-6782
✔ PECOS✔ Accepts Medicare2.2 mi
Psychiatry
NPI 1639517451
102 MEDICAL CENTER DR
Hazard, KY 41701
(606) 439-6713
✔ PECOS✔ Accepts Medicare2.2 mi
See all 416 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 18D2225699

Arh Medical Mall Family Specialty Clinic · Hazard, KY
Active · expires Jun 25, 2027
CLIA Number18D2225699
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorDr. James J. Hammock
Laboratory Phone(606) 487-7000
Laboratory LocationArh Medical Mall Family Specialty Clinic210 Black Gold Blvd, Suite 210, Hazard, KY 41701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Medical Equipment Supplier Medicare DMEPOS 38

Medicare supplier enrollment and the product categories Arh Community Pharmacy carries, from the Medicare DMEPOS supplier directory.

Arh Community Pharmacy

DMEPOS supplier · Hazard, KYOperated by Appalachian Regional Healthcare Inc
✔

Accepts Medicare assignment

Arh Community Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20305427
Medicare Participant SinceSeptember 1, 2023
Supplier Location210 Black Gold Blvd Ste 104Hazard, KY 41701
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Regional Healthcare, Inc.'s NPI number?

The NPI number for Appalachian Regional Healthcare, Inc. is 1407420698. It was assigned to this organization in the NPPES registry on May 13, 2021. The provider is doing business as Arh Medical Mall Family Specialty Clinic.

Where is Appalachian Regional Healthcare, Inc. located?

Appalachian Regional Healthcare, Inc. is located at 210 Black Gold Blvd, Hazard, KY 41701. The listed phone number is (606) 487-7000.

What is Appalachian Regional Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Appalachian Regional Healthcare, Inc. enrolled in Medicare?

Yes. Appalachian Regional Healthcare, Inc. is registered in the Medicare PECOS enrollment system.

When is Appalachian Regional Healthcare, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Kentucky, Rural Health Clinic) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Appalachian Regional Healthcare, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 416 clinicians in 42 Medicare specialties reassign their Medicare billing to Appalachian Regional Healthcare, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (117), Internal Medicine (35) and Family Practice (34). Of these, 9 practice at this address and 85 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Appalachian Regional Healthcare, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Arh Community Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Appalachian Regional Healthcare, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D2225699) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Appalachian Regional Healthcare, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Appalachian Regional Healthcare, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Appalachian Regional Healthcare, Inc. was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.