Ashland Hospital Corporation
Organization Active NPI Family Medicine Physician · Ashland, KY
NPI 1508317975 · NPPES record last updated Jun 16, 2023
Key facts
- NPI
- 1508317975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ASHLAND HOSPITAL CORPORATION
- Practice address
- 2123 Main St W
Ashland, KY 41102-3237 - Phone
- (606) 408-8922
- Fax
- (606) 408-8908
- NPI assigned
- Oct 20, 2016
- Organization subpart
- No
Authorized official
- Name
- Sara Marks
- Title
- Ceo/President
- Phone
- (606) 408-4401
Corporate family (same tax ID) 24
Practitioners 1
National Provider Directory
- Tax ID family
- Kings Daughter Anesthes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | KY | Yes | |
| Physician Assistant |
363A00000X | KY | ||
| Nurse Practitioner |
363L00000X | KY |
Addresses
Primary practice location
2123 Main St W
Ashland, KY 41102-3237
Mailing address
PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200
Other names
- Kings Daughters - Fairview High School
NPI Registry JSON
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686873600000",
"number": "1508317975",
"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": "606-408-6200",
"fax_number": "606-408-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 MAIN ST W",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411023237",
"telephone_number": "606-408-8922",
"fax_number": "606-408-8908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHLAND HOSPITAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-20",
"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/PRESIDENT",
"authorized_official_telephone_number": "606-408-4401"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "KY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kings Daughters - Fairview High School",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kings Daughters - Fairview High School",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ashland, KY
- Ashland Hospital Corporation
- Ashland Hospital Corporation
- Ashland Hospital Corporation
- Ashland Hospital Corporation
- Ashland Hospital Corporation
- Ashland Hospital Corporation
- Ashland Hospital Corporation
- Ashland Hospital Corporation
- Ashland Hospital Corporation
- Ashland Hospital Corporation
All providers in Ashland, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.