Healthcare Provider Details

I. General information

NPI: 1619665742
Provider Name (Legal Business Name): OHIO COUNTY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 NEW HARTFORD RD
OWENSBORO KY
42303-1320
US

IV. Provider business mailing address

2841 NEW HARTFORD RD
OWENSBORO KY
42303-1320
US

V. Phone/Fax

Practice location:
  • Phone: 270-691-6161
  • Fax: 270-926-2364
Mailing address:
  • Phone: 270-691-6161
  • Fax: 270-926-2364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

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