Ohio County Hospital Corporation

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Beaver Dam, KY

NPI 1740953603 · NPPES record last updated Mar 19, 2024

Key facts

NPI
1740953603
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
OHIO COUNTY HOSPITAL CORPORATION
Practice address
1621 N Main St
Beaver Dam, KY 42320-8963
Phone
(270) 274-9222
Fax
(270) 274-0696
NPI assigned
Jul 27, 2021
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 14

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

Corporate family (same tax ID) 31

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

View all 31

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

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

National Provider Directory

Tax ID family
Fordsville Medical Clin (32 organizations share this tax ID)

Locations

1532 Lone Oak Rd
Ste 345
Paducah, KY 42003
Phone (270) 442-6161

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X

Addresses

Primary practice location

1621 N Main St
Beaver Dam, KY 42320-8963

Mailing address

PO Box 148
Hartford, KY 42347-0148
Phone (270) 274-9222

Other names

  • OHIO COUNTY HEALTHCARE BEHAVIORAL HEALTH Doing business as

Other providers in Beaver Dam, KY

All providers in Beaver Dam, KY · Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky

Sources for this page

Verify at the official NPI Registry.