Organization Active NPI

Ashland Hospital Corporation

Doing business as Kings Daughters - Heritage Elementary

  • Family Medicine Physician
  • Grayson, KY
National Provider Identifier
1629529094
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
Kings Daughters - Heritage Elementary
Practice address
4863 S State Highway 1
Grayson, KY 41143-7634
Phone
(606) 475-5500
Fax
(606) 408-8908
NPI assigned
Oct 20, 2016
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/President
Phone
(606) 408-4401

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X KY
Nurse Practitioner 363L00000X KY
Family Medicine Physician 207Q00000X KY Primary

Addresses

Primary practice location

4863 S State Highway 1
Grayson, KY 41143-7634

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200

Other names 1

  • Kings Daughters - Heritage Elementary Doing business as

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1629529094",
    "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": "4863 S STATE HIGHWAY 1",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411437634",
            "telephone_number": "606-475-5500",
            "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": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings Daughters - Heritage Elementary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kings Daughters - Heritage Elementary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grayson, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.