Healthcare Provider Details

I. General information

NPI: 1740953603
Provider Name (Legal Business Name): OHIO COUNTY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 N MAIN ST
BEAVER DAM KY
42320-8963
US

IV. Provider business mailing address

PO BOX 148
HARTFORD KY
42347-0148
US

V. Phone/Fax

Practice location:
  • Phone: 270-274-9222
  • Fax: 270-274-0696
Mailing address:
  • Phone: 270-274-9222
  • Fax: 270-274-0696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER DAUGHERTY
Title or Position: PFS DIRECTOR
Credential:
Phone: 270-504-1910