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

NPI Status: Active since May 13, 2021

Contact Information

210 BLACK GOLD BLVD
HAZARD, KY
ZIP 41701
Phone: (606) 487-7000

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 18D2225699
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 06-25-2027

About ARH MEDICAL MALL FAMILY SPECIALTY CLINIC

This page provides the complete NPI Profile along with additional information for Arh Medical Mall Family Specialty Clinic, a primary care provider established in Hazard, Kentucky operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1407420698 assigned on May 2021. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Arh Medical Mall Family Specialty Clinic. The authorized official of this NPI record is Mrs. Hollie Harris (President And Ceo)

NPI
1407420698
Provider Legal Name
APPALACHIAN REGIONAL HEALTHCARE, INC.
Other Organization Name
ARH MEDICAL MALL FAMILY SPECIALTY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
210 BLACK GOLD BLVD HAZARD, KY 41701
Location Phone
(606) 487-7000
Mailing Address
100 AIRPORT GARDENS RD HAZARD, KY 41701
Mailing Phone
(606) 216-5145
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2021
Last Update Date
09-20-2024
Code Navigator

A primary care provider (PCP) like Arh Medical Mall Family Specialty Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Arh Medical Mall Family Specialty Clinic is a medicare supplier with PTAN 20305427 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Continuous Passive Motion (CPM) Devices or Contracture Treatment Devices: Dynamic Splint or Heat & Cold Applications or Hospital Beds (Electric) or Hospital Beds (Manual) or Support Surfaces: Pressure Reducing Beds/Mats/Pads or Traction Equipment or Ultraviolet Light Devices and/or Supplies or Canes and/or Crutches or Patient Lifts or Power Operated Vehicles (Scooters) or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchairs (Standard Power) or Wheelchairs (Standard Power Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Off-The-Shelf or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Voice Prosthetics or Enteral Nutrients or Enteral Equipment and/or Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps or Surgical Dressings.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. HOLLIE HARRIS

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(859) 226-2511

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20305427
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Continuous Passive Motion (CPM) Devices - Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines
  • Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
  • Hospital Beds (Manual) - Fixed height hospital beds, Variable height hospital beds
  • Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
  • Traction Equipment - Traction tables, Traction machines, Inversion tables
  • Ultraviolet Light Devices and/or Supplies - Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Patient Lifts - Ceiling lifts, Slings
  • Power Operated Vehicles (Scooters) - Scooters
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Power) - Standard power wheelchairs, Heavy duty standard power wheelchairs
  • Wheelchairs (Standard Power Related Accessories) - Accessories for standard power wheelchairs, heavy duty standard power wheelchairs
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Tracheotomy Supplies - Tracheostomy care kits
  • Urological Supplies - Catheters, Urinary collection devices
  • Voice Prosthetics - Electronic Larynx, Voice amplifier
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
  • Respiratory Assist Devices -
  • Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2225699
Facility Type
Rural Health Clinic
Certificate Effective Date
June 26, 2025
Certificate Expiration Date
June 25, 2027
Laboratory Director
DR. JAMES J. HAMMOCK
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Arh Medical Mall Family Specialty Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407420698, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 8 + 2 + 0 + 6 + 1 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1407420698.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner
210 BLACK GOLD BLVD
HAZARD, KY 41701
Family Medicine
210 BLACK GOLD BLVD
HAZARD, KY 41701
Psychologist
210 BLACK GOLD BLVD, ARH BARIATRICS, SUITE 102, ARH MEDICAL MALL
HAZARD, KY 41701
Psychologist
210 BLACK GOLD BLVD, SUITE 102
HAZARD, KY 41701
Family Medicine
210 BLACK GOLD BLVD, SUITE 106
HAZARD, KY 41701
Psychologist (Clinical)
210 BLACK GOLD BLVD, ARH BARIATRIC SERVICES, SUITE 102
HAZARD, KY 41701
Pediatrics
210 BLACK GOLD BLVD
HAZARD, KY 41701
Radiology (Diagnostic Radiology)
210 BLACK GOLD BLVD, STE 109
HAZARD, KY 41701
Registered Nurse
210 BLACK GOLD BLVD, STE 107
HAZARD, KY 41701
Registered Nurse
210 BLACK GOLD BLVD, STE 107
HAZARD, KY 41701
Clinical Medical Laboratory
210 BLACK GOLD BLVD, STE 109
HAZARD, KY 41701
Physical Therapist
210 BLACK GOLD BLVD, SUITE 103
HAZARD, KY 41701
Physical Therapist
210 BLACK GOLD BLVD, SUITE 103
HAZARD, KY 41701
Physical Therapy Assistant
210 BLACK GOLD BLVD, SUITE 103
HAZARD, KY 41701
Physical Therapist
210 BLACK GOLD BLVD, SUITE 103
HAZARD, KY 41701
Physical Therapist
210 BLACK GOLD BLVD, SUITE 103
HAZARD, KY 41701
Physical Therapist
210 BLACK GOLD BLVD, SUITE 103
HAZARD, KY 41701
Physical Therapist
210 BLACK GOLD BLVD, SUITE 103
HAZARD, KY 41701
Occupational Therapist
210 BLACK GOLD BLVD, SUITE 103
HAZARD, KY 41701
Physical Therapist
210 BLACK GOLD BLVD, SUITE 103
HAZARD, KY 41701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407420698, enumerated as an "organization" on May 13, 2021.

The provider is located at 210 BLACK GOLD BLVD HAZARD, KY 41701 and the phone number is (606) 487-7000.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.