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Organization
ASHLAND HOSPITAL COPORATION
Active
Organization
ASHLAND HOSPITAL COPORATION
Active
Other names
Kings Daughters Medical Center Grayson Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARKS (CEO)
(606) 408-4404
Entity
Organization
Contact information
Practice address
609 N CAROL MALONE BLVD STE 100, GRAYSON, KY 41143-1123
(606) 474-7892
(606) 474-0040
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-4000
(606) 408-3719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2255376
—
OH
05
—
65923302
—
KY
Enumeration date
05/25/2006
Last updated
08/15/2023
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