Healthcare Provider Details

I. General information

NPI: 1073935722
Provider Name (Legal Business Name): CHG CORNERSTONE HOSPITAL OF ASHLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2014
Last Update Date: 01/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 LEXINGTON AVE
ASHLAND KY
41101-2843
US

IV. Provider business mailing address

2200 ROSS AVE STE 5400
DALLAS TX
75201-7918
US

V. Phone/Fax

Practice location:
  • Phone: 606-408-4000
  • Fax:
Mailing address:
  • Phone: 469-621-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DAVID SMITH
Title or Position: CEO OF CORNERSTONE HEALTHCARE GROUP
Credential:
Phone: 469-621-6700