NPIMap

Organization Active NPI

Ashland Hospital Corporation

Doing business as Kings Daughters Medical Center Jackson Medical Specialties

  • Rural Health Clinic/Center
  • Jackson, OH
National Provider Identifier
1356434773
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ASHLAND HOSPITAL CORPORATION
Doing business as
Kings Daughters Medical Center Jackson Medical Specialties
Practice address
14395 State RT 93
Jackson, OH 45640
Phone
(740) 288-7681
Fax
(740) 288-7682
NPI assigned
Sep 30, 2006
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X OH Primary
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

14395 State RT 93
Jackson, OH 45640

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-4000

Other identifiers 1

IdentifierTypeStateIssuer
36D1044778OtherOHCLIA

Other names 1

  • Kings Daughters Medical Center Jackson Medical Specialties Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040205001138 OH Part B Supplier - Clinic/Group Practice 7719882521 Receives reassigned benefits from 92 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portsmouth, OH; South Point, OH; Wheelersburg, OH; Ironton, OH; Franklin Furnace, OH; Jackson, OH; Lucasville, OH; Minford, OH
O20110316000109 OH Part A Provider - Rural Health Clinic 7719882521 1 other NPI on this enrollment
Practice locations: Jackson, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356434773. Details of each certification follow.

Rural health clinic certification: CCN 363853

Legal name
ASHLAND HOSPITAL CORPORATION
Doing business as
KINGS DAUGHTERS MEDICAL CENTER JACKSON FAMILY CARE CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 8, 2011
Last certification
Sep 10, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Sep 9, 1942 in KY
Enrollment address
14365 State Route 93
Jackson, OH 45640-9798

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kings Daughter Med Cent84 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

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

View all 13

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 57)

1000 Ashland Dr
Ste G2
Ashland, KY 41101
Phone (606) 408-5864

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

1100 Bob McCullough Dr
Ashland, KY 41102

1100 Russell St
Ashland, KY 41101
Phone (606) 327-2735

1100 Saint Christopher Dr
#1
Ashland, KY 41101
Phone (606) 833-3515

1100 Saint Christopher Dr
#2
Ashland, KY 41101
Phone (606) 833-3580

1180 Saint Christopher Dr
Ste 1
Ashland, KY 41101
Phone (606) 833-6397

1200 Central Ave
Ste 2
Ashland, KY 41101
Phone (606) 324-9769

121 16th St
Ashland, KY 41101
Phone (606) 325-7488

14375 Lions Ln
Ashland, KY 41102

1500 Blazer Blvd
Ashland, KY 41102
Phone (304) 633-5853

1701 Central Ave
Ste 500
Ashland, KY 41101
Phone (606) 329-2000

2245 Winchester Ave
Ste 1
Ashland, KY 41101
Phone (606) 324-2554

2301 Lexington Ave
Ste 140
Ashland, KY 41101
Phone (606) 408-3143

2301 Lexington Ave
Ste 310
Ashland, KY 41101
Phone (606) 327-4393

2406 Carter Ave
Ashland, KY 41101
Phone (606) 408-4530

2910 Carter Ave
Ashland, KY 41101
Phone (606) 324-7337

336 29th St
Ashland, KY 41101
Phone (606) 324-4404

336 29th St
Ste 202
Ashland, KY 41101
Phone (606) 326-1844

3503 Winchester Ave
Ashland, KY 41101
Phone (606) 408-9690

432 16th St
#B
Ashland, KY 41101
Phone (606) 324-6383

617 23rd St
Ste 105
Ashland, KY 41101
Phone (606) 408-7500

617 23rd St
Ste 20
Ashland, KY 41101
Phone (606) 326-9833

617 23rd St
Ste 211
Ashland, KY 41101
Phone (606) 324-3188

617 23rd St
Ste 25
Ashland, KY 41101
Phone (606) 327-1760

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Mark D Birdwhistell Individual Corporate DirectorBoard Member Apr 1, 2021
John Stewart Individual Corporate DirectorBoard Member Aug 22, 2012
Beyond Blue Corporation Organization, Lexington, KY Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2021 100%
Laurie B. Stewart Individual Operational/Managerial ControlController Feb 12, 2026
Thomas Burnette Individual Corporate DirectorBoard Member Aug 22, 2012
Steven E Clifton Individual Corporate OfficerSecretary Dec 1, 2022
Corporate DirectorSecretary Dec 1, 2022
Royal Blue Health, LLC Organization, Ashland, KY Created for acquisition, LLC, Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2021 100%
April Perry Individual Corporate DirectorBoard Member Apr 30, 2026
University of Kentucky Organization, Lexington, KY Corporation 5% Or Greater Indirect Ownership Interest Dec 1, 2022 100%
Penny Cox Individual Corporate DirectorBoard Member Dec 1, 2022
Craig C Collins Individual Corporate DirectorBoard Member Apr 1, 2021
Stephen Addington Individual Corporate DirectorChairperson Aug 22, 2012
Eric N Monday Individual Corporate DirectorBoard Member Apr 1, 2021
Sara Marks Individual Corporate OfficerCeo Interim Dec 1, 2022
Corporate DirectorCeo Interim Dec 1, 2022
W-2 Managing EmployeeCeo Interim Dec 1, 2022
Operational/Managerial ControlCeo Interim Dec 1, 2022
Robert S Dipaola Individual Corporate DirectorBoard Member Dec 1, 2022
Gina Dugas Individual Corporate DirectorBoard Member Dec 1, 2022

Owners & managing parties with NPI records 17

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

View all 17

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Kingsbrook Lifecare CenterAshland, KY, CCN 185449 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Direct Ownership Interest (100%)		 Feb 1, 2010
Dec 1, 2022

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 7

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

Practitioners & affiliated clinicians

Practitioners 305

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 305

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1356434773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14395 STATE RT 93",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640",
            "telephone_number": "740-288-7681",
            "fax_number": "740-288-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D1044778",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings Daughters Medical Center Jackson Medical Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, OH

Sources for this page

Verify at the official NPI Registry.