# ASHLAND HOSPITAL COPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kings Daughters Medical Center Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629854302
- **Authorized official:** SARA MARKS (CEO)
- **Authorized official phone:** (606) 408-4000

## Contact information

- **Practice address:** 1061 KENWOOD DR, RUSSELL, KY 41169-1527
- **Practice address phone:** (606) 408-3143
- **Practice address fax:** (606) 325-8486
- **Mailing address:** PO BOX 1595, ASHLAND, KY 41105-1595
- **Mailing address phone:** (606) 408-6200
- **Mailing address fax:** (606) 408-6612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2023
- **Last updated:** 02/05/2024