Provider Demographics
NPI:1750447231
Name:OHIO COUNTY HOSPITAL CORPORATION
Entity type:Organization
Organization Name:OHIO COUNTY HOSPITAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PFS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUGHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-504-1910
Mailing Address - Street 1:44 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FORDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42343-9761
Mailing Address - Country:US
Mailing Address - Phone:270-276-9953
Mailing Address - Fax:270-276-9958
Practice Address - Street 1:44 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FORDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42343-9761
Practice Address - Country:US
Practice Address - Phone:270-276-9953
Practice Address - Fax:270-276-9958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY900048261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY35000454Medicaid
KY35000454Medicaid