Covered Entity Details

DSH510062B APPALACHIAN REGIONAL HEALTHCARE, INC. (Terminated) - information as of 4/24/2025 11:58:04 PM

Main Details

Name

APPALACHIAN REGIONAL HEALTHCARE, INC.

Subdivision Name

BECKLEY ARH PRIMARY CARE

Type

Disproportionate Share Hospital

Rural

340B ID

DSH510062B

Medicare Provider Number

510062

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

10/13/2014

Participating Start Date

1/1/2015

Participating Approval Date

12/4/2014

Last Recertification Date

9/4/2018

Termination Date
Termination Reason

1/1/2019
Business decision by the Covered Entity

Contacts

Authorizing Official

Appalachian Regional Healthcare
Joseph Grossman, PRESIDENT and CEO
(859) 226-2450

Primary Contact

Appalachian Regional Healthcare
Jeffrey Akers, CEO of Pharmaceutical Services
(606) 616-2296

Addresses

Street Address

250 STANAFORD ROAD
BECKLEY, WV 25801

Billing Address

Beckley ARH Hospital - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
VA	5106222
WV	0001092000
		1568461440

Shipping Addresses

Shipping Address 1

BECKLEY ARH HOSPITAL
306 STANAFORD ROAD
BECKLEY, WV 25801

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH510062A	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	ARH OAK HILL PRIMARY CARE CENTER	223 MAPLE AVENUE	OAK HILL	WV	Active
DSH510062B	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	BECKLEY ARH PRIMARY CARE	250 STANAFORD ROAD	BECKLEY	WV	Terminated
DSH510062C	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	ARH CARDIOLOGY ASSOCIATES-BECKLEY	1256 NORTH EISENHOWER DRIVE	BECKLEY	WV	Active
DSH510062D	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	ARH SOUTHERN WV CLINIC - INFECTIOUS DISEASE	250 STANAFORD ROAD	BECKLEY	WV	Active
DSH510062E	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	ARH SOUTHERN WV CLINIC - FAMILY MEDICINE	250 STANAFORD ROAD	BECKLEY	WV	Terminated
DSH510062F	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	BECKLEY ARH WOMEN'S HEALTH	1256 N. Eisenhower Drive	Beckley	WV	Terminated
DSH510062G	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	Beckley ARH Medical Mall - Ear, Nose and Throat	1256 N. Eisenhower Drive	Beckley	WV	Active
DSH510062H	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	Medical Mall / Dermatology	1256 N. Eisenhower Drive	Beckley	WV	Terminated
DSH510062J	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	Beckley ARH Primary Care - Internal Medicine	250 Stanaford Road	Beckley	WV	Active
DSH510062K	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	Beckley ARH Medical Mall - NEUROLOGY	1256 North Eisenhower Drive	BECKLEY	WV	Active
DSH510062L	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	ARH Southern West Virginia Clinic - Psychiatry	250 Stanaford Road	Beckley	WV	Terminated
DSH510062M	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	ARH Southern West Virginia Clinic - Surgical Services	250 Stanaford Road	Beckley	WV	Active
DSH510062N	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	ARH Southern West Virginia Clinic - Oncology Associates	250 Stanaford Road	Beckley	WV	Active
DSH510062P	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	ARH Southern West Virginia Clinic - Orthopedics	250 Stanaford Road	Beckley	WV	Active
DSH510062Q	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	ARH Southern West Virginia Clinic - Endocrinology	250 Stanaford Road	Beckley	WV	Terminated
DSH510062R	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	ARH BEAVER FAMILY CLINIC - PRIMARY CARE	703 Ritter Drive	Beaver	WV	Active
DSH510062S	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	ARH Southern West Virginia Clinic - Gastroenterology	429 Carriage Drive	Beckley	WV	Active
DSH510062T	Child	DSH	APPALACHIAN REGIONAL HEALTHCARE, INC.	ARH Southern West Virginia Clinic - Pulmonology	250 Stanaford Road	Beckley	WV	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	Profile Change Request	Akers, Jeffrey System Director of Pharmacy Appalachian Regional Healthcare 6066162296	Akers, Jeffrey CEO of Pharmaceutical Services Appalachian Regional Healthcare 6066162296	2/8/2022 7:53 PM
Contacts	Primary Contact	Update	Profile Change Request	Akers, Jeffrey System Director of Pharmacy Appalachian Regional Healthcare 6064396988	Akers, Jeffrey System Director of Pharmacy Appalachian Regional Healthcare 6066162296	1/8/2020 11:00 AM
Details	State	Update		To Be Terminated	Terminated	1/1/2019 12:05 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		9/30/2018 12:00:00 AM	10/29/2018 7:22 AM
Details	State	Update	Termination Request	Active	To Be Terminated	10/29/2018 7:22 AM
Terminations	Termination Date	Update	Termination Request		1/1/2019 12:00:00 AM	10/29/2018 7:22 AM
Terminations	Termination Effective Date	Update	Termination Request		9/30/2018 12:00:00 AM	10/29/2018 7:22 AM
Terminations	Termination Reason	Update	Termination Request		Business decision by the Covered Entity	10/29/2018 7:22 AM
Addresses	Billing Address	Insert	Recertification		Beckley ARH Hospital - Accounts Payable 200 Hospital Drive South Williamson, KY 41503	9/4/2018 8:09 PM
Details	Last Recertification Date	Update	Recertification	11/22/2017 9:18:58 AM	9/4/2018 8:09:35 PM	9/4/2018 8:09 PM
Details	Entity Name	Update	Recertification	BECKLEY ARH	APPALACHIAN REGIONAL HEALTHCARE, INC.	11/29/2017 9:19 PM
Details	Last Recertification Date	Update	Recertification	8/16/2016 12:00:00 AM	11/22/2017 9:18:58 AM	11/22/2017 9:18 AM
Contacts	Authorizing Official	Update		Grossman, Joseph PRESIDENT and CEO 8592262450	Grossman, Joseph PRESIDENT and CEO Appalachian Regional Healthcare 8592262450	9/22/2017 4:03 PM
Contacts	Signed By	Update		Grossman, Joseph PRESIDENT and CEO 8592262450	Grossman, Joseph PRESIDENT and CEO Appalachian Regional Healthcare 8592262450	9/22/2017 4:03 PM
Contacts	Primary Contact	Update		Akers, Jeffrey System Director of Pharmacy 6064396988	Akers, Jeffrey System Director of Pharmacy Appalachian Regional Healthcare 6064396988	9/22/2017 3:59 PM
Contacts	Authorizing Official	Insert			Grossman, Joseph PRESIDENT and CEO 8592262450	8/1/2017 2:30 PM
Contacts	Signed By	Insert			Grossman, Joseph PRESIDENT and CEO 8592262450	8/1/2017 2:30 PM
Contacts	Primary Contact	Insert			Akers, Jeffrey System Director of Pharmacy 6064396988	8/1/2017 2:30 PM
Addresses	Main Address	Insert			250 STANAFORD ROAD BECKLEY, WV 25801	2/15/2017 12:53 PM
Addresses	Shipping Address	Insert			BECKLEY ARH HOSPITAL 306 STANAFORD ROAD BECKLEY, WV 25801	2/15/2017 12:53 PM
Details	Last Recertification Date	Update		8/16/2015 12:00:00 AM	8/16/2016 12:00:00 AM	8/16/2016 8:17 AM
Details	Last Recertification Date	Update			8/16/2015 12:00:00 AM	8/16/2015 7:29 PM
Dates	Participating Approval Date	Update			12/4/2014 12:00:00 AM	12/4/2014 6:11 PM
Details	State	Update		Pending	Active	12/4/2014 6:11 PM
Dates	Start Date	Update			1/1/2015 12:00:00 AM	12/4/2014 6:11 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	11/18/2014 3:49 PM
Medicaid Billing	Medicaid: Number	Insert			5106222	11/18/2014 3:49 PM
Medicaid Billing	Medicaid: State	Insert			VA	11/18/2014 3:49 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	11/18/2014 3:49 PM
Medicaid Billing	Medicaid: Number	Insert			0001092000	11/18/2014 3:49 PM
Medicaid Billing	Medicaid: State	Insert			WV	11/18/2014 3:49 PM
Medicaid Billing	NPI: Number	Insert			1568461440	11/18/2014 3:49 PM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_47141	DSH510062B	11/14/2014 1:45 PM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_47141	10/13/2014 4:08 PM
Details	Last Recertification Date	Insert				10/13/2014 4:08 PM
Details	Grant Number	Insert				10/13/2014 4:08 PM
Details	340B ID	Insert				10/13/2014 4:08 PM
Details	Is Authorizing Official EHB Data	Insert				10/13/2014 4:08 PM
Dates	Last Date That 340B Drugs Purchased	Insert				10/13/2014 4:08 PM
Details	Medicare Provider Number	Insert			510062	10/13/2014 4:08 PM
Details	Entity Name	Insert			BECKLEY ARH	10/13/2014 4:08 PM
Details	Program Code	Insert			DSH	10/13/2014 4:08 PM
Details	Entity Subname	Insert			BECKLEY ARH PRIMARY CARE	10/13/2014 4:08 PM
Dates	Participating Approval Date	Insert				10/13/2014 4:08 PM
Details	State	Insert			Pending	10/13/2014 4:08 PM
Dates	Registration Date	Insert			10/13/2014 12:00:00 AM	10/13/2014 4:08 PM
Dates	Signed By Date	Insert			10/13/2014 12:00:00 AM	10/13/2014 4:08 PM
Dates	Start Date	Insert				10/13/2014 4:08 PM
Terminations	Termination Comments	Insert				10/13/2014 4:08 PM
Terminations	Termination Date	Insert				10/13/2014 4:08 PM
Terminations	Termination Effective Date	Insert				10/13/2014 4:08 PM
Terminations	Termination Reason	Insert				10/13/2014 4:08 PM