NPIMap

Organization Active NPI

Ohio County Hospital Corporation

Doing business as Ohio County Hospital PS

  • Emergency Medicine Physician
  • Hartford, KY
National Provider Identifier
1386764678
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
OHIO COUNTY HOSPITAL CORPORATION
Doing business as
Ohio County Hospital PS
Practice address
1211 Old Main St
Hartford, KY 42347-1619
Phone
(270) 298-7411
Fax
(270) 298-3824
NPI assigned
Mar 30, 2007
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 600073 KY
Emergency Medicine Physician 207P00000X 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) 298-3806

Other identifiers 2

IdentifierTypeStateIssuer
65909921MedicaidKY
600073OtherKYLICENSE

Other names 1

  • OHIO COUNTY HOSPITAL PS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000774 KY Part B Supplier - Clinic/Group Practice 3577477264 Receives reassigned benefits from 117 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Owensboro, KY; Hartford, KY; Beaver Dam, KY

Other NPIs on the same Medicare enrollment 14

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

View all 14

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

Locations

1215 Old Main St
Ste A
Hartford, KY 42347
Phone (270) 298-7411

2851 New Hartford Rd
#B
Owensboro, KY 42303
Phone (270) 688-6035

3500 Villa Pt
Owensboro, KY 42303
Phone (270) 688-0059

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1386764678",
    "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": "270-298-3806",
            "fax_number": "270-298-3824"
        },
        {
            "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": "270-298-7411",
            "fax_number": "270-298-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO COUNTY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "600073",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65909921",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "600073",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHIO COUNTY HOSPITAL PS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.