Covered Entity Details

DSH510062G APPALACHIAN REGIONAL HEALTHCARE, INC. (Active) - information as of 4/28/2025 12:44:07 AM

Main Details

Name

APPALACHIAN REGIONAL HEALTHCARE, INC.

Subdivision Name

Beckley ARH Medical Mall - Ear, Nose and Throat

Type

Disproportionate Share Hospital

Rural

340B ID

DSH510062G

Medicare Provider Number

510062

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

2/3/2017

Participating Start Date

4/1/2017

Participating Approval Date

2/15/2017

Last Recertification Date

9/3/2024

Contacts

Authorizing Official

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

Primary Contact

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

Addresses

Street Address

1256 N. Eisenhower Drive
Suite 800
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
KY	7100561600	1417048539,1477510162,1568461440
WV	1477510162,0001092004,0001092000	1417048539,1477510162,1568461440
VA	5106222	1417048539,1477510162,1568461440

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
Details	Last Recertification Date	Update	Recertification	8/14/2023 1:49:55 PM	9/3/2024 11:29:27 AM	9/3/2024 11:29 AM
Details	Last Recertification Date	Update	Recertification	8/26/2022 10:26:37 AM	8/14/2023 1:49:55 PM	8/14/2023 1:49 PM
Contacts	Authorizing Official	Update	Change Request	Harris, Hollie P President & CEO Appalachian Regional Healthcare, Inc 8592262511	Braman, Maria Chief Medical Officer ARH 4064658506	5/25/2023 11:18 AM
Contacts	Primary Contact	Update	Profile Change Request	Herald, Michael Interim CEO of Pharmaceutical Services Appalachian Regional Healthcare, Inc 6064381210	Herald, Michael Associate Vice President of Pharmaceutical Services Appalachian Regional Healthcare, Inc 6064381210	2/15/2023 3:07 PM
Contacts	Primary Contact	Update	Group Change Request	Akers, Jeffrey CEO of Pharmaceutical Services Appalachian Regional Healthcare 6066162296	Herald, Michael Interim CEO of Pharmaceutical Services Appalachian Regional Healthcare, Inc 6064381210	9/13/2022 2:22 PM
Details	Last Recertification Date	Update	Recertification	9/9/2021 11:07:22 AM	8/26/2022 10:26:37 AM	8/26/2022 10:26 AM
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	Authorizing Official	Update	Profile Change Request	Harris, Hollie P President & CEO Appalachian Regional Healthcare, Inc 8592262468	Harris, Hollie P President & CEO Appalachian Regional Healthcare, Inc 8592262511	1/28/2022 9:09 AM
Details	Last Recertification Date	Update	Recertification	8/25/2020 2:10:43 PM	9/9/2021 11:07:22 AM	9/9/2021 11:07 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	1699751818 (WV)		6/30/2021 5:05 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	6/30/2021 4:48 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		1699751818	6/30/2021 4:48 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		WV	6/30/2021 4:48 PM
Contacts	Authorizing Official	Update	Change Request	Grossman, Joseph PRESIDENT and CEO Appalachian Regional Healthcare 8592262450	Harris, Hollie P President & CEO Appalachian Regional Healthcare, Inc 8592262468	5/18/2021 3:10 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	8/25/2020 2:10 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		0001092004	8/25/2020 2:10 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		WV	8/25/2020 2:10 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1477510162 ( )		8/25/2020 2:10 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1417048539	8/25/2020 2:10 PM
Medicaid Billing	NPI: State	Insert	Recertification		WV	8/25/2020 2:10 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1477510162	8/25/2020 2:10 PM
Medicaid Billing	NPI: State	Insert	Recertification		WV	8/25/2020 2:10 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1568461440	8/25/2020 2:10 PM
Medicaid Billing	NPI: State	Insert	Recertification		WV	8/25/2020 2:10 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1417048539	8/25/2020 2:10 PM
Medicaid Billing	NPI: State	Insert	Recertification		VA	8/25/2020 2:10 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1477510162	8/25/2020 2:10 PM
Medicaid Billing	NPI: State	Insert	Recertification		VA	8/25/2020 2:10 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1568461440	8/25/2020 2:10 PM
Medicaid Billing	NPI: State	Insert	Recertification		VA	8/25/2020 2:10 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1417048539	8/25/2020 2:10 PM
Medicaid Billing	NPI: State	Insert	Recertification		KY	8/25/2020 2:10 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1477510162	8/25/2020 2:10 PM
Medicaid Billing	NPI: State	Insert	Recertification		KY	8/25/2020 2:10 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1568461440	8/25/2020 2:10 PM
Medicaid Billing	NPI: State	Insert	Recertification		KY	8/25/2020 2:10 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1568461440 ( )		8/25/2020 2:10 PM
Details	Last Recertification Date	Update	Recertification	9/5/2019 7:22:43 AM	8/25/2020 2:10:43 PM	8/25/2020 2:10 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
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/5/2019 7:22 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		7100561600	9/5/2019 7:22 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		KY	9/5/2019 7:22 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/5/2019 7:22 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1477510162	9/5/2019 7:22 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		WV	9/5/2019 7:22 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1477510162	9/5/2019 7:22 AM
Details	Last Recertification Date	Update	Recertification	9/5/2018 10:06:01 AM	9/5/2019 7:22:43 AM	9/5/2019 7:22 AM
Details	Entity Subname	Update	Recertification	Medical Mall / ENT	Beckley ARH Medical Mall - Ear, Nose and Throat	9/5/2019 7:22 AM
Addresses	Main Address	Update	Change Request	1256 N. Eisenhower Drive Beckley, WV 25801	1256 N. Eisenhower Drive Suite 800 Beckley, WV 25801	3/20/2019 10:04 AM
Addresses	Shipping Address	Insert	Recertification		Beckley ARH Hospital 306 Stanaford Road Beckley, WV 25801	9/5/2018 10:06 AM
Addresses	Billing Address	Update	Recertification	Beckley ARH Hospital 306 Stanaford Road Beckley, WV 25801	Beckley ARH Hospital - Accounts Payable 200 Hospital Drive South Williamson, KY 41503	9/5/2018 10:06 AM
Details	Last Recertification Date	Update	Recertification	11/22/2017 9:18:13 AM	9/5/2018 10:06:01 AM	9/5/2018 10:06 AM
Details	Entity Name	Update	Recertification	BECKLEY ARH	APPALACHIAN REGIONAL HEALTHCARE, INC.	11/29/2017 9:19 PM
Details	Last Recertification Date	Update	Recertification		11/22/2017 9:18:13 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			1256 N. Eisenhower Drive Beckley, WV 25801	2/15/2017 12:53 PM
Addresses	Billing Address	Insert			Beckley ARH Hospital 306 Stanaford Road Beckley, WV 25801	2/15/2017 12:53 PM
Dates	Participating Approval Date	Update			2/15/2017 12:00:00 AM	2/15/2017 12:52 PM
Details	State	Update		Pending	Active	2/15/2017 12:52 PM
Dates	Start Date	Update			4/1/2017 12:00:00 AM	2/15/2017 12:52 PM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_75623	DSH510062G	2/6/2017 1:36 PM
Details	Entity Name	Update		APPALACHIAN REGIONAL HEALTHCARE, INC.	BECKLEY ARH	2/6/2017 1:36 PM
Details	Entity Subname	Update		BECKLEY ARH - Beckley ARH Medical Mall / ENT	Medical Mall / ENT	2/6/2017 1:36 PM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_75623	2/3/2017 1:46 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	2/3/2017 1:46 PM
Medicaid Billing	Medicaid: Number	Insert			5106222	2/3/2017 1:46 PM
Medicaid Billing	Medicaid: State	Insert			VA	2/3/2017 1:46 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	2/3/2017 1:46 PM
Medicaid Billing	Medicaid: Number	Insert			0001092000	2/3/2017 1:46 PM
Medicaid Billing	Medicaid: State	Insert			WV	2/3/2017 1:46 PM
Medicaid Billing	NPI: Number	Insert			1568461440	2/3/2017 1:46 PM
Details	Last Recertification Date	Insert				2/3/2017 1:46 PM
Details	Grant Number	Insert				2/3/2017 1:46 PM
Details	340B ID	Insert				2/3/2017 1:46 PM
Details	Is Authorizing Official EHB Data	Insert				2/3/2017 1:46 PM
Dates	Last Date That 340B Drugs Purchased	Insert				2/3/2017 1:46 PM
Details	Medicare Provider Number	Insert			510062	2/3/2017 1:46 PM
Details	Entity Name	Insert			APPALACHIAN REGIONAL HEALTHCARE, INC.	2/3/2017 1:46 PM
Details	Program Code	Insert			DSH	2/3/2017 1:46 PM
Details	Entity Subname	Insert			BECKLEY ARH - Beckley ARH Medical Mall / ENT	2/3/2017 1:46 PM
Dates	Participating Approval Date	Insert				2/3/2017 1:46 PM
Details	State	Insert			Pending	2/3/2017 1:46 PM
Dates	Registration Date	Insert			2/3/2017 12:00:00 AM	2/3/2017 1:46 PM
Dates	Signed By Date	Insert			2/3/2017 12:00:00 AM	2/3/2017 1:46 PM
Dates	Start Date	Insert				2/3/2017 1:46 PM
Terminations	Termination Comments	Insert				2/3/2017 1:46 PM
Terminations	Termination Date	Insert				2/3/2017 1:46 PM
Terminations	Termination Effective Date	Insert				2/3/2017 1:46 PM
Terminations	Termination Reason	Insert				2/3/2017 1:46 PM