# ASHLAND HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** King's Daughters Caltettsburg Family Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104873702
- **Authorized official:** SARA MARKS (CEO)
- **Authorized official phone:** (606) 408-4404

## Contact information

- **Practice address:** 10015 US 23, CATLETTSBURG, KY 41129-1091
- **Practice address phone:** (606) 739-6095
- **Practice address fax:** (606) 739-8252
- **Mailing address:** PO BOX 1595, ASHLAND, KY 41105-1595
- **Mailing address phone:** (606) 408-4000
- **Mailing address fax:** (606) 408-3719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 06/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2255376 | — | OH |
| 05 | — | 381000166002 | — | WV |
| 05 | — | 65923302 | — | KY |