MEDICARE: OHIO COUNTY HOSPITAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208600000X	Surgery Physician
2	207RC0000X	Cardiovascular Disease Physician
3	207X00000X	Orthopaedic Surgery Physician
4	207RG0100X	Gastroenterology Physician
5	363LF0000X	Family Nurse Practitioner
6	225100000X	Physical Therapist
7	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
8	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1205678844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO COUNTY HOSPITAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 148
Second Line	:
City	:	HARTFORD
State	:	KY
Zip	:	42347-0148
Country	:	US
Telephone Number	:	270-504-1910
Fax Number	:	270-298-3824

Provider Business Practice Location Address
First Line	:	3500 VILLA PT STE 110
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-7826
Country	:	US
Telephone Number	:	270-691-0059
Fax Number	:	270-298-9506

Authorized Official
Title or Position	:	PFS DIRECTOR
Name	:	JENNIFER L DAUGHERTY
Credential	:
Telephone Number	:	270-504-1910

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	02/19/2026

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Directions to “OHIO COUNTY HOSPITAL CORPORATION ” Practice Location

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