Organization
OHIO COUNTY HOSPITAL CORPORATION
Active
Parent organization
OHIO COUNTY HOSPITAL CORPORATION
Other names
OHIO COUNTY PAIN CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHIO COUNTY HOSPITAL CORPORATION
Authorized official
JENNIFER DAUGHERTY (PFS DIRECTOR)
(270) 504-1910
Entity
Organization
Contact information
Practice address
1520 N MAIN ST, BEAVER DAM, KY 42320-8960
(270) 274-7112
(270) 274-7698
Mailing address
P O BOX 148, 1520 NORTH MAIN STREET, BEAVER DAM, KY 42320
(270) 274-7112
(270) 274-7698
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000537155
ANTHEM
KY
05
—
7100027630
—
KY
Enumeration date
10/15/2007
Last updated
03/19/2024
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