MEDICARE: OHIO COUNTY HOSPTIAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1013285709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO COUNTY HOSPTIAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 148
Second Line	:
City	:	HARTFORD
State	:	KY
Zip	:	42347-0148
Country	:	US
Telephone Number	:	270-504-1300
Fax Number	:	270-504-1380

Provider Business Practice Location Address
First Line	:	20 MCMURTRY AVE
Second Line	:
City	:	HARTFORD
State	:	KY
Zip	:	42347-1614
Country	:	US
Telephone Number	:	270-504-1300
Fax Number	:	270-504-1380

Authorized Official
Title or Position	:	PFS DIRECTOR
Name	:	JENNIFER DAUGHTERTY
Credential	:
Telephone Number	:	270-504-1910

Provider Enumeration Date	:	12/08/2011
Last Update Date	:	03/19/2024

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