340B Drug Pricing Program Database


DSH180005G HIGHLANDS ARH REGIONAL MEDICAL CENTER (Active) - information as of 5/13/2025 10:58:25 PM

Main Details
HIGHLANDS ARH REGIONAL MEDICAL CENTER
ARH Medical and Specialty Associates - Highlands - ORTHOPEDICS
Disproportionate Share Hospital
Yes
DSH180005G
180005


Additional Details
Active
10/14/2013
1/1/2014
12/9/2013
9/3/2024

Contacts

ARH
Maria Braman, Chief Medical Officer
(406) 465-8506

Appalachian Regional Healthcare, Inc
Michael Herald, Associate Vice President of Pharmaceutical Services
(606) 438-1210

Addresses

5000 KY Rt. 321
PRESTONSBURG, KY 41653

Highlands ARH Regional Medical Center - ACCOUNTS PAYABLE
200 HOSPITAL DRIVE
South Williamson, KY 41503


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
KY7100654210,7100654350,7100653340,7100651620,7100654220,71006542001043878325,1063074581,1700445319,1992367569,1285296848,1669123535
Shipping Addresses

Highlands ARH Regional Medical Center
5000 KY Rt 321
Prestonsburg, KY 41653
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH180005AChildDSHHIGHLANDS ARH REGIONAL MEDICAL CENTERARH Medical and Specialty Associates - Harold24 Left Penhook RdHaroldKYTerminated
DSH180005BChildDSHHIGHLANDS REGIONAL MEDICAL CENTERHighlands Orthopaedic5000 Ky Route 321PrestonsburgKYTerminated
DSH180005CChildDSHHIGHLANDS ARH REGIONAL MEDICAL CENTERARH Medical and Specialty Associates - Highlands Urology5000 Ky Route 321PrestonsburgKYActive
DSH180005DChildDSHHIGHLANDS ARH REGIONAL MEDICAL CENTERARH Medical and Specialty Associates - Salyersville100 Brianna Blvd.SalyersvilleKYTerminated
DSH180005EChildDSHHIGHLANDS REGIONAL MEDICAL CENTERSALYERSVILLE AFTER HOURS100 Brianna Blvd.SalyersvilleKYTerminated
DSH180005FChildDSHHIGHLANDS REGIONAL MEDICAL CENTERARH Medical and Specialty Associates - Paintsville713 BroadwayPaintsvilleKYTerminated
DSH180005GChildDSHHIGHLANDS ARH REGIONAL MEDICAL CENTERARH Medical and Specialty Associates - Highlands - ORTHOPEDICS5000 KY Rt. 321PRESTONSBURGKYActive
DSH180005JChildDSHHIGHLANDS ARH REGIONAL MEDICAL CENTERARH Medical and Surgical Associates - Highlands Oncology5000 KY Route 321PrestonsburgKYActive
DSH180005KChildDSHHIGHLANDS ARH REGIONAL MEDICAL CENTERARH Medical and Specialty Associates - Highlands - Internal Medicine5000 KY Route 321PrestonsburgKYActive
DSH180005LChildDSHHIGHLANDS ARH REGIONAL MEDICAL CENTERARH Medical and Specialty Associates Highlands - CARDIOLOGY5000 KY Route 321PrestonsburgKYActive
DSH180005MChildDSHHIGHLANDS ARH REGIONAL MEDICAL CENTERARH Medical and Specialty Associates - Highlands - Nephrology5000 KY Route 321PrestonsburgKYActive
DSH180005NChildDSHHIGHLANDS ARH REGIONAL MEDICAL CENTERARH Medical and Specialty Associates - Highlands - Surgery5000 KY Route 321PrestonsburgKYActive
DSH180005PChildDSHHIGHLANDS ARH REGIONAL MEDICAL CENTERARH Medical and Specialty Associates - Highlands - Pulmonology5000 KY Route 321PrestonsburgKYActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification8/14/2023 1:21:37 PM9/3/2024 11:15:29 AM9/3/2024 11:15 AM
DetailsLast Recertification DateUpdateRecertification8/26/2022 11:15:22 AM8/14/2023 1:21:37 PM8/14/2023 1:21 PM
ContactsAuthorizing OfficialUpdateChange RequestHarris, Hollie P President & CEO Appalachian Regional Healthcare, Inc 8592262511Braman, Maria Chief Medical Officer ARH 40646585066/1/2023 7:42 AM
ContactsPrimary ContactUpdateProfile Change RequestHerald, Michael Interim CEO of Pharmaceutical Services Appalachian Regional Healthcare, Inc 6064381210Herald, Michael Associate Vice President of Pharmaceutical Services Appalachian Regional Healthcare, Inc 60643812102/15/2023 3:07 PM
AddressesMain AddressUpdateChange Request 5000 KY Rt. 321 Suite 2127 PRESTONSBURG, KY 41653 5000 KY Rt. 321 PRESTONSBURG, KY 4165311/22/2022 2:29 PM
ContactsPrimary ContactUpdateGroup Change RequestAkers, Jeffrey CEO of Pharmaceutical Services Appalachian Regional Healthcare 6066162296Herald, Michael Interim CEO of Pharmaceutical Services Appalachian Regional Healthcare, Inc 60643812109/13/2022 2:51 PM
Medicaid BillingNPI: NumberInsertRecertification 16691235358/26/2022 11:15 AM
Medicaid BillingNPI: StateInsertRecertification KY8/26/2022 11:15 AM
DetailsLast Recertification DateUpdateRecertification9/9/2021 10:19:43 AM8/26/2022 11:15:22 AM8/26/2022 11:15 AM
DetailsEntity SubnameUpdateChange RequestARH Medical and Surgical Associates - Highlands - ORTHOPEDICSARH Medical and Specialty Associates - Highlands - ORTHOPEDICS6/15/2022 8:04 AM
ContactsPrimary ContactUpdateProfile Change RequestAkers, Jeffrey System Director of Pharmacy Appalachian Regional Healthcare 6066162296Akers, Jeffrey CEO of Pharmaceutical Services Appalachian Regional Healthcare 60661622962/8/2022 7:53 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestHarris, Hollie P President & CEO Appalachian Regional Healthcare, Inc 8592262468Harris, Hollie P President & CEO Appalachian Regional Healthcare, Inc 85922625111/28/2022 9:09 AM
Medicaid BillingMedicaid: NumberDeleteChange Request7100041780 (KY) 1/17/2022 12:56 PM
Medicaid BillingMedicaid: NumberDeleteChange Request7100624230 (KY) 1/17/2022 12:56 PM
Medicaid BillingMedicaid: NumberDeleteChange Request7100654710 (KY) 1/17/2022 12:56 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False1/17/2022 12:56 PM
Medicaid BillingMedicaid: NumberInsertChange Request 71006542201/17/2022 12:56 PM
Medicaid BillingMedicaid: StateInsertChange Request KY1/17/2022 12:56 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False1/17/2022 12:56 PM
Medicaid BillingMedicaid: NumberInsertChange Request 71006542001/17/2022 12:56 PM
Medicaid BillingMedicaid: StateInsertChange Request KY1/17/2022 12:56 PM
Medicaid BillingMedicaid: NumberDeleteChange Request65926891 (KY) 1/17/2022 12:56 PM
Medicaid BillingMedicaid: NumberDeleteChange Request7100258270 (KY) 1/17/2022 12:56 PM
Medicaid BillingNPI: NumberDeleteChange Request1558415869 (KY) 1/17/2022 12:56 PM
Medicaid BillingNPI: NumberDeleteChange Request1558527903 (KY) 1/17/2022 12:56 PM
Medicaid BillingNPI: NumberDeleteChange Request1689739013 (KY) 1/17/2022 12:56 PM
Medicaid BillingNPI: NumberDeleteChange Request1770648107 (KY) 1/17/2022 12:56 PM
Medicaid BillingNPI: NumberInsertChange Request 12852968481/17/2022 12:56 PM
Medicaid BillingNPI: StateInsertChange Request KY1/17/2022 12:56 PM
DetailsLast Recertification DateUpdateRecertification8/26/2020 10:48:40 AM9/9/2021 10:19:43 AM9/9/2021 10:19 AM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False6/30/2021 5:03 PM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 71006242306/30/2021 5:03 PM
Medicaid BillingMedicaid: StateInsertGroup Change Request KY6/30/2021 5:03 PM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False6/30/2021 5:03 PM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 71006547106/30/2021 5:03 PM
Medicaid BillingMedicaid: StateInsertGroup Change Request KY6/30/2021 5:03 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16897390136/30/2021 5:03 PM
Medicaid BillingNPI: StateInsertGroup Change Request KY6/30/2021 5:03 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 17706481076/30/2021 5:03 PM
Medicaid BillingNPI: StateInsertGroup Change Request KY6/30/2021 5:03 PM
ContactsAuthorizing OfficialUpdateChange RequestGrossman, Joseph PRESIDENT and CEO Appalachian Regional Healthcare 8592262450Harris, Hollie P President & CEO Appalachian Regional Healthcare, Inc 85922624685/18/2021 3:07 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False8/26/2020 10:48 AM
Medicaid BillingMedicaid: NumberInsertRecertification 71006542108/26/2020 10:48 AM
Medicaid BillingMedicaid: StateInsertRecertification KY8/26/2020 10:48 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False8/26/2020 10:48 AM
Medicaid BillingMedicaid: NumberInsertRecertification 71006543508/26/2020 10:48 AM
Medicaid BillingMedicaid: StateInsertRecertification KY8/26/2020 10:48 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False8/26/2020 10:48 AM
Medicaid BillingMedicaid: NumberInsertRecertification 71006533408/26/2020 10:48 AM
Medicaid BillingMedicaid: StateInsertRecertification KY8/26/2020 10:48 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False8/26/2020 10:48 AM
Medicaid BillingMedicaid: NumberInsertRecertification 71006516208/26/2020 10:48 AM
Medicaid BillingMedicaid: StateInsertRecertification KY8/26/2020 10:48 AM
Medicaid BillingNPI: NumberDeleteRecertification1043878325 ( ) 8/26/2020 10:48 AM
Medicaid BillingNPI: NumberDeleteRecertification1063074581 ( ) 8/26/2020 10:48 AM
Medicaid BillingNPI: NumberDeleteRecertification1700445319 ( ) 8/26/2020 10:48 AM
Medicaid BillingNPI: NumberInsertRecertification 10438783258/26/2020 10:48 AM
Medicaid BillingNPI: StateInsertRecertification KY8/26/2020 10:48 AM
Medicaid BillingNPI: NumberInsertRecertification 10630745818/26/2020 10:48 AM
Medicaid BillingNPI: StateInsertRecertification KY8/26/2020 10:48 AM
Medicaid BillingNPI: NumberInsertRecertification 15584158698/26/2020 10:48 AM
Medicaid BillingNPI: StateInsertRecertification KY8/26/2020 10:48 AM
Medicaid BillingNPI: NumberInsertRecertification 15585279038/26/2020 10:48 AM
Medicaid BillingNPI: StateInsertRecertification KY8/26/2020 10:48 AM
Medicaid BillingNPI: NumberInsertRecertification 17004453198/26/2020 10:48 AM
Medicaid BillingNPI: StateInsertRecertification KY8/26/2020 10:48 AM
Medicaid BillingNPI: NumberInsertRecertification 19923675698/26/2020 10:48 AM
Medicaid BillingNPI: StateInsertRecertification KY8/26/2020 10:48 AM
Medicaid BillingNPI: NumberDeleteRecertification1558527903 ( ) 8/26/2020 10:48 AM
Medicaid BillingNPI: NumberDeleteRecertification1558415869 ( ) 8/26/2020 10:48 AM
DetailsLast Recertification DateUpdateRecertification9/4/2019 10:43:24 AM8/26/2020 10:48:40 AM8/26/2020 10:48 AM
ContactsPrimary ContactUpdateProfile Change RequestAkers, Jeffrey System Director of Pharmacy Appalachian Regional Healthcare 6064396988Akers, Jeffrey System Director of Pharmacy Appalachian Regional Healthcare 60661622961/8/2020 11:00 AM
DetailsLast Recertification DateUpdateRecertification9/10/2018 11:04:14 AM9/4/2019 10:43:24 AM9/4/2019 10:43 AM
DetailsEntity NameUpdateChange RequestHIGHLANDS REGIONAL MEDICAL CENTERHIGHLANDS ARH REGIONAL MEDICAL CENTER8/8/2019 7:21 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False8/6/2019 9:17 AM
Medicaid BillingMedicaid: NumberInsertChange Request 71000417808/6/2019 9:17 AM
Medicaid BillingMedicaid: StateInsertChange Request KY8/6/2019 9:17 AM
Medicaid BillingNPI: NumberInsertChange Request 10438783258/6/2019 9:17 AM
Medicaid BillingNPI: NumberInsertChange Request 10630745818/6/2019 9:17 AM
Medicaid BillingNPI: NumberInsertChange Request 17004453198/6/2019 9:17 AM
AddressesBilling AddressInsertChange Request Highlands ARH Regional Medical Center - ACCOUNTS PAYABLE 200 HOSPITAL DRIVE South Williamson, KY 415038/5/2019 3:58 PM
AddressesShipping AddressInsertChange Request Highlands ARH Regional Medical Center 5000 KY Rt 321 Prestonsburg, KY 416538/5/2019 3:58 PM
ContactsPrimary ContactUpdateChange RequestHoward, Vylinda Director of Pharmacy Services Highlands Regional Medical Center 6068867617Akers, Jeffrey System Director of Pharmacy Appalachian Regional Healthcare 60643969888/5/2019 3:58 PM
DetailsEntity SubnameUpdateChange RequestHIGHLANDS ORTHOPAEDICS IIARH Medical and Surgical Associates - Highlands - ORTHOPEDICS8/5/2019 3:58 PM
ContactsAuthorizing OfficialUpdateAO Change RequestWarman Jr., Harold C. CEO Highlands Regional Medical Center 6068867602Grossman, Joseph PRESIDENT and CEO Appalachian Regional Healthcare 85922624508/1/2019 1:41 PM
AddressesMain AddressUpdateRecertification 5000 KY Rt. 321 Suite 4139 PRESTONSBURG, KY 41653 5000 KY Rt. 321 Suite 2127 PRESTONSBURG, KY 416539/10/2018 11:04 AM
DetailsLast Recertification DateUpdateRecertification11/9/2017 8:26:08 AM9/10/2018 11:04:14 AM9/10/2018 11:04 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False7/23/2018 9:42 AM
Medicaid BillingMedicaid: NumberInsertChange Request 71002582707/23/2018 9:42 AM
Medicaid BillingMedicaid: StateInsertChange Request KY7/23/2018 9:42 AM
Medicaid BillingNPI: NumberInsertChange Request 15584158697/23/2018 9:42 AM
ContactsPrimary ContactUpdateChange RequestHOWARD, VYLINDA DIRECTOR OF PHARMACY HIGHLANDS REGIONAL MEDICAL CENTER 6068867617Howard, Vylinda Director of Pharmacy Services Highlands Regional Medical Center 60688676177/23/2018 9:42 AM
DetailsLast Recertification DateUpdateRecertification9/1/2016 12:00:00 AM11/9/2017 8:26:08 AM11/9/2017 8:26 AM
ContactsPrimary ContactUpdateRecertificationHOWARD, VYLINDA DIRECTOR OF PHARMACY 6068867617HOWARD, VYLINDA DIRECTOR OF PHARMACY HIGHLANDS REGIONAL MEDICAL CENTER 606886761711/9/2017 8:26 AM
ContactsAuthorizing OfficialUpdate Warman Jr., Harold C. CEO 6068867602Warman Jr., Harold C. CEO Highlands Regional Medical Center 606886760210/16/2017 3:31 PM
AddressesMain AddressInsert   5000 KY Rt. 321 Suite 4139 PRESTONSBURG, KY 416536/15/2017 2:22 PM
ContactsSigned ByInsert  BLACKWELL, JACK CFO 60688685116/15/2017 2:22 PM
ContactsPrimary ContactInsert  HOWARD, VYLINDA DIRECTOR OF PHARMACY 60688676176/15/2017 2:22 PM
ContactsAuthorizing OfficialInsert  Warman Jr., Harold C. CEO 60688676026/15/2017 2:22 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/1/2016 8:18 AM
Medicaid BillingMedicaid: NumberInsert  659268919/1/2016 8:18 AM
Medicaid BillingMedicaid: StateInsert  KY9/1/2016 8:18 AM
Medicaid BillingNPI: NumberInsert  15585279039/1/2016 8:18 AM
DetailsLast Recertification DateUpdate 9/1/2015 12:00:00 AM9/1/2016 12:00:00 AM9/1/2016 8:18 AM
DetailsLast Recertification DateUpdate 8/21/2014 12:00:00 AM9/1/2015 12:00:00 AM9/1/2015 4:36 PM
DetailsLast Recertification DateUpdate  8/21/2014 12:00:00 AM8/21/2014 1:01 PM
DatesParticipating Approval DateUpdate  12/9/2013 12:00:00 AM12/9/2013 3:27 PM
DetailsStateUpdate PendingActive12/9/2013 3:27 PM
DatesStart DateUpdate  1/1/2014 12:00:00 AM12/9/2013 3:27 PM
Details340B IDUpdate OUTPATIENT_ONLINE_REGDSH180005G11/14/2013 4:11 PM
DetailsLast Recertification DateInsert   10/14/2013 1:43 PM
DetailsGrant NumberInsert   10/14/2013 1:43 PM
Details340B IDInsert  OUTPATIENT_ONLINE_REG10/14/2013 1:43 PM
DetailsIs Authorizing Official EHB DataInsert   10/14/2013 1:43 PM
DatesLast Date That 340B Drugs PurchasedInsert   10/14/2013 1:43 PM
DetailsMedicare Provider NumberInsert  18000510/14/2013 1:43 PM
DetailsEntity NameInsert  HIGHLANDS REGIONAL MEDICAL CENTER10/14/2013 1:43 PM
DetailsProgram CodeInsert  DSH10/14/2013 1:43 PM
DetailsEntity SubnameInsert  HIGHLANDS ORTHOPAEDICS II10/14/2013 1:43 PM
DatesParticipating Approval DateInsert   10/14/2013 1:43 PM
DetailsStateInsert  Pending10/14/2013 1:43 PM
DatesRegistration DateInsert  10/14/2013 12:00:00 AM10/14/2013 1:43 PM
DatesSigned By DateInsert  10/14/2013 12:00:00 AM10/14/2013 1:43 PM
DatesStart DateInsert   10/14/2013 1:43 PM
TerminationsTermination CommentsInsert   10/14/2013 1:43 PM
TerminationsTermination DateInsert   10/14/2013 1:43 PM
TerminationsTermination Effective DateInsert   10/14/2013 1:43 PM
TerminationsTermination ReasonInsert   10/14/2013 1:43 PM