On March 25, 1822, state officials decided to build a new county seat named "
Liberty", below the mouth of the
Russell Fork. Public disapproval of the site led a new decision on December 24, 1823, to establish the county seat on land donated by local farmer Elijah Adkins. The
National Civic League designated Pikeville as an
All-American City in 1965. From 1973 to 1987, the
Pikeville Cut-Through was constructed immediately west of downtown. The massive
rock cut is one of the largest civil engineering projects in the
Western Hemisphere, moving nearly of soil and rock. The project alleviated traffic congestion in downtown and eliminated flooding by rerouting the
Levisa Fork River. From 1982 to 1984, Pikeville was home to the
Pikeville Cubs and Pikeville Brewers. Pikeville played as a member of the Rookie level
Appalachian League. Pikeville was an affiliate of the
Milwaukee Brewers (1982) and
Chicago Cubs (1983–84).
Baseball Hall of Fame member
Greg Maddux played for the 1984 Pikeville Cubs in his first professional season. The city has been a center of rapid development in
Eastern Kentucky since the 1990s. Pikeville College (now the
University of Pikeville) opened the
Kentucky College of Osteopathic Medicine in 1997. The university also opened the Kentucky College of Optometry, Central Appalachia's first optometry school, in 2016. In 2005, the 7,000 seat, multi-purpose
Appalachian Wireless Arena opened in downtown.
Pikeville Medical Center has established itself as a regional healthcare center. In 2014, a new 11-story clinic and a 10-story parking structure was completed at a cost of $150 million. The hospital has also become a member of the
Mayo Clinic Care Network. In 2013, construction began on a shopping center known as Pikeville Commons. The first stores opened in the shopping center in 2014. Late 2017 saw several announcements regarding tenants for the recently opened Kentucky Enterprise Industrial Park. Construction has begun on a 60,000 square foot manufacturing facility to be owned and operated by SilverLiner, whose primary business is expected to be the manufacture and assembly of tanks for tanker trucks. In 2018, the Kentucky League of Cities named Pikeville's city government the KLC City Government of the Year. This was the award's inaugural year; it was intended to recognize "a city that has done something transformational, and our first ever recipient certainly demonstrates a city making a huge impact on its region." ==Geography==