ASHLAND HOSPITAL CORPORATION

Provider Demographics

• NPI: 1851346720
• Name: ASHLAND HOSPITAL CORPORATION
• Entity Type: Organization
• Organization Name: ASHLAND HOSPITAL CORPORATION
• Other - Org Name: KINGS DAUGHTERS MEDICAL CENTER
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CEO
• Authorized Official - Prefix: MRS
• Authorized Official - First Name: KRISTIE
• Authorized Official - Last Name: WHITLATCH
• Authorized Official - Phone: 606-408-4401
• Mailing Address - Street 1: 2201 LEXINGTON AVE
• Mailing Address - City: ASHLAND
• Mailing Address - State: KY
• Mailing Address - Zip Code: 41101-2843
• Mailing Address - Country: US
• Mailing Address - Phone: 606-408-4000
• Mailing Address - Fax: 606-408-7426
• Practice Address - Street 1: 2201 LEXINGTON AVE
• Practice Address - City: ASHLAND
• Practice Address - State: KY
• Practice Address - Zip Code: 41101-2843
• Practice Address - Country: US
• Practice Address - Phone: 606-408-4000
• Practice Address - Fax: 606-408-7426
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-22
• Last Update Date: 2020-08-20

Provider Licenses

State	License ID	Taxonomies
		103TC0700X, 207Q00000X, 208D00000X, 231H00000X, 261QP2300X, 261QR0400X, 261QR0401X, 363A00000X, 363L00000X, 363LF0000X, 363LP0808X
KY		1041C0700X, 261QR1300X, 273R00000X
KY	100958	282N00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	282N00000X	Hospitals	General Acute Care Hospital		Group - Single Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Single Specialty
No	1041C0700X	Behavioral Health & Social Service Providers	Social Worker	Clinical	Group - Single Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Single Specialty
No	208D00000X	Allopathic & Osteopathic Physicians	General Practice		Group - Single Specialty
No	231H00000X	Speech, Language and Hearing Service Providers	Audiologist		Group - Single Specialty
No	261QP2300X	Ambulatory Health Care Facilities	Clinic/Center	Primary Care
No	261QR0400X	Ambulatory Health Care Facilities	Clinic/Center	Rehabilitation
No	261QR0401X	Ambulatory Health Care Facilities	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	Group - Single Specialty
No	261QR1300X	Ambulatory Health Care Facilities	Clinic/Center	Rural Health	Group - Single Specialty
No	273R00000X	Hospital Units	Psychiatric Unit		Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Single Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Single Specialty
No	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Family	Group - Single Specialty
No	363LP0808X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Psychiatric/Mental Health	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
OH	4710503	Medicaid
OH	2373711	Medicaid
KY	65923302	Medicaid
KY	65940843	Medicaid
KY	78900958	Medicaid
KY	01012871	Medicaid
OH	2255376	Medicaid
KY	188907	Medicare PIN
OH	4710503	Medicaid
KY	01012871	Medicaid
OH	9306572	Medicare PIN
KY	0120	Medicare PIN
KY	65940843	Medicaid
KY	CJ0478	Medicare PIN
KY	DB4970	Medicare PIN
OH	CG9200	Medicare PIN