Healthcare Provider Details

I. General information

NPI: 1902716160
Provider Name (Legal Business Name): ASHLAND HOSPITAL COPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2420 ARGILLITE RD STE A
FLATWOODS KY
41139-1972
US

IV. Provider business mailing address

2420 ARGILLITE RD STE A
FLATWOODS KY
41139-1972
US

V. Phone/Fax

Practice location:
  • Phone: 606-408-1187
  • Fax:
Mailing address:
  • Phone: 606-408-1187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TAMMIE D NIEMER
Title or Position: PAYER ENROLLMENT MANAGER
Credential:
Phone: 606-408-9565