Healthcare Provider Details

I. General information

NPI: 1750075172
Provider Name (Legal Business Name): OHIO COUNTY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 NEW HARTFORD RD
OWENSBORO KY
42303-1320
US

IV. Provider business mailing address

2851 NEW HARTFORD RD
OWENSBORO KY
42303-1320
US

V. Phone/Fax

Practice location:
  • Phone: 270-688-6035
  • Fax: 270-688-6056
Mailing address:
  • Phone: 270-688-6035
  • Fax: 270-688-6056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNULL

VIII. Authorized Official

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