MEDICARE: ASHLAND HOSPITAL CORPORATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363A00000X	Physician Assistant
2	363L00000X	Nurse Practitioner
3	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104873702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHLAND HOSPITAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 1595
Second Line	:
City	:	ASHLAND
State	:	KY
Zip	:	41105-1595
Country	:	US
Telephone Number	:	606-408-4000
Fax Number	:	606-408-3719

Provider Business Practice Location Address
First Line	:	10015 US 23
Second Line	:
City	:	CATLETTSBURG
State	:	KY
Zip	:	41129-1091
Country	:	US
Telephone Number	:	606-739-6095
Fax Number	:	606-739-8252

Authorized Official
Title or Position	:	CEO
Name	:	SARA MARKS
Credential	:
Telephone Number	:	606-408-4404

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	06/16/2023

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Directions to “ASHLAND HOSPITAL CORPORATION ” Practice Location

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