Provider Demographics
NPI:1053194613
Name:OHIO COUNTY HOSPITAL CORPORATION
Entity type:Organization
Organization Name:OHIO COUNTY HOSPITAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PFS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUGHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-504-1910
Mailing Address - Street 1:2811 NEW HARTFORD RD STE C
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1384
Mailing Address - Country:US
Mailing Address - Phone:270-240-2246
Mailing Address - Fax:270-240-3081
Practice Address - Street 1:2811 NEW HARTFORD RD STE C
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1384
Practice Address - Country:US
Practice Address - Phone:270-240-2246
Practice Address - Fax:270-240-3081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty