NPIMap

Organization Active NPI

Ohio County Hospital Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Hartford, KY
National Provider Identifier
1316979149
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
OHIO COUNTY HOSPITAL CORPORATION
Practice address
1211 Old Main St
Hartford, KY 42347-1619
Phone
(270) 298-5431
Fax
(270) 298-5269
NPI assigned
Jul 6, 2006
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Jennifer Daugherty
Title
PFS Director
Phone
(270) 504-1910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X KY Primary

Addresses

Primary practice location

1211 Old Main St
Hartford, KY 42347-1619

Mailing address

1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-5431

Other identifiers 2

IdentifierTypeStateIssuer
12700407MedicaidKY
0000000179604OtherKYBLUE CROSS SWING BED PROV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071214000302 KY Part A Provider - Critical Access Hospital 3577477264 Practice locations: Hartford, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316979149. Details of each certification follow.

Hospital certification: CCN 18Z323

Legal name
OHIO COUNTY HOSPITAL CORPORATION
Organization structure
CorporationNon-profit
Incorporated
Feb 3, 1984 in KY
Enrollment address
1211 Old Main St
Hartford, KY 42347-1619
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ohio County Hospital32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lloyd Spivey Individual Corporate DirectorBoard Member Jan 1, 2012
Suzette Temple Individual Corporate DirectorBoard Member Feb 18, 2021
Ovation Health Organization, Brentwood, TN Management services company Operational/Managerial Control Mar 1, 1984
Elizabeth Lunsford Individual Corporate DirectorBoard Member Sep 14, 2020
James Duke Individual Corporate DirectorBoard Member Oct 13, 2014
Kelly Roe Individual Corporate DirectorBoard Member Jan 1, 2007
Melinda Fields Individual W-2 Managing EmployeeDirector of Finances Jun 1, 2000
Jonathan Shrewsbury Individual Corporate DirectorBoard Member Jan 1, 2007
Nicole Marie Akers Individual Corporate DirectorBoard Member Jan 1, 2023
Stuart Hibbs Individual Corporate OfficerCfo Jan 1, 2023
Eddie L Embry Individual Corporate DirectorBoard Member Oct 12, 2020
Shellie Shouse Individual Corporate OfficerCfo Jul 1, 2017
Carla Wallace Individual Corporate DirectorBoard Member Jan 1, 2007

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Butler County Family CareMorgantown, KY, CCN 183489 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 3, 1984

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1316979149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 OLD MAIN ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471619",
            "telephone_number": "270-298-5431",
            "fax_number": "270-298-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 OLD MAIN ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471619",
            "telephone_number": "270-298-5431",
            "fax_number": "270-298-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO COUNTY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "270-504-1910"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12700407",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SWING BED PROV",
            "identifier": "0000000179604",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, KY

Sources for this page

Verify at the official NPI Registry.