Healthcare Provider Details

I. General information

NPI: 1386764678
Provider Name (Legal Business Name): OHIO COUNTY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 OLD MAIN ST
HARTFORD KY
42347-1619
US

IV. Provider business mailing address

1211 OLD MAIN ST
HARTFORD KY
42347-1619
US

V. Phone/Fax

Practice location:
  • Phone: 270-298-7411
  • Fax: 270-298-3824
Mailing address:
  • Phone: 270-298-3806
  • Fax: 270-298-3824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number600073
License Number StateKY

VIII. Authorized Official

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