Provider Demographics
NPI:1356444228
Name:ASHLAND HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:ASHLAND HOSPITAL CORPORATION
Other - Org Name:KING'S DAUGHTERS HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-408-4401
Mailing Address - Street 1:1700 WINCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7649
Mailing Address - Country:US
Mailing Address - Phone:606-408-9690
Mailing Address - Fax:606-408-6986
Practice Address - Street 1:1700 WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7649
Practice Address - Country:US
Practice Address - Phone:606-408-9690
Practice Address - Fax:606-408-6986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2087781Medicaid
KY90272436Medicaid
KY90272436Medicaid