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
—
—
363A00000X
Physician Assistant
—
—
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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