NPIMap

Organization Active NPI

Ashland Hospital Corporation

Doing business as King's Daughters Olive Hill Family Care Center

  • Family Medicine Physician
  • Olive Hill, KY
National Provider Identifier
1093762619
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASHLAND HOSPITAL CORPORATION
Doing business as
King's Daughters Olive Hill Family Care Center
Practice address
391 W Tom T Hall Blvd
Olive Hill, KY 41164-7688
Phone
(606) 286-8039
Fax
(606) 286-6108
NPI assigned
May 28, 2006
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara Marks
Title
Ceo
Phone
(606) 408-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

391 W Tom T Hall Blvd
Olive Hill, KY 41164-7688

Mailing address

2201 Lexington Ave
PO Box 1595
Ashland, KY 41101-2843
Phone (606) 327-5044

Other identifiers 1

IdentifierTypeStateIssuer
2251957MedicaidOH

Other names 1

  • King's Daughters Olive Hill Family Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0977208Olive Hill Family Care Center391 West Tom T Hall Blvd, Olive Hill, KY 41164Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory
Tax ID family
Kings Daughters Med Ce84 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1093762619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 LEXINGTON AVE",
            "address_2": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012843",
            "telephone_number": "606-327-5044",
            "fax_number": "606-327-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 W TOM T HALL BLVD",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411647688",
            "telephone_number": "606-286-8039",
            "fax_number": "606-286-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-408-4000"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2251957",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King's Daughters Olive Hill Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "King's Daughters Olive Hill Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olive Hill, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.