NPIMap

Organization Active NPI

Ohio County Hospital Corporation

Doing business as Ohio County Healthcare Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beaver Dam, KY
National Provider Identifier
1740953603
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OHIO COUNTY HOSPITAL CORPORATION
Doing business as
Ohio County Healthcare Behavioral Health
Practice address
1621 N Main St
Beaver Dam, KY 42320-8963
Phone
(270) 274-9222
Fax
(270) 274-0696
NPI assigned
Jul 27, 2021
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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse Practitioner 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 1

  • OHIO COUNTY HEALTHCARE BEHAVIORAL HEALTH 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

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1740953603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470148",
            "telephone_number": "270-274-9222",
            "fax_number": "270-274-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208963",
            "telephone_number": "270-274-9222",
            "fax_number": "270-274-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO COUNTY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHIO COUNTY HEALTHCARE BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OHIO COUNTY HEALTHCARE BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver Dam, 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.