Healthcare Provider Details
I. General information
NPI: 1689739633
Provider Name (Legal Business Name): ASHLAND HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/27/2006
Last Update Date: 06/16/2023
Certification Date: 06/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2201 LEXINGTON AVE
ASHLAND KY
41101-2843
US
IV. Provider business mailing address
PO BOX 151
ASHLAND KY
41105-0151
US
V. Phone/Fax
- Phone: 606-408-4000
- Fax: 606-408-7425
- Phone: 606-408-4000
- Fax: 606-408-7426
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | 100958 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273Y00000X |
| Taxonomy | Rehabilitation Hospital Unit |
| License Number | 100958 |
| License Number State | KY |
VIII. Authorized Official
Name:
SARA
MARKS
Title or Position: CEO/PRESIDENT
Credential:
Phone: 606-408-4000