Healthcare Provider Details

I. General information

NPI: 1255853206
Provider Name (Legal Business Name): ASHLAND HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2017
Last Update Date: 06/16/2023
Certification Date: 06/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 16TH ST
ASHLAND KY
41101-7690
US

IV. Provider business mailing address

1700 WINCHESTER AVE
ASHLAND KY
41101-7649
US

V. Phone/Fax

Practice location:
  • Phone: 606-325-7488
  • Fax:
Mailing address:
  • Phone: 606-408-9690
  • Fax: 606-408-6986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SARA MARKS
Title or Position: CEO/PRESIDENT
Credential:
Phone: 606-408-4401