Organization
ASHLAND HOSPITAL COPORATION
Active
Other names
Kings Daughters Medical Center Portsmouth Medical Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARKS (CEO)
(606) 408-4401
Entity
Organization
Contact information
Practice address
2001 SCIOTO TRL STE 200, PORTSMOUTH, OH 45662-5122
(740) 353-6390
(740) 353-6290
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
OH
207R00000X
Internal Medicine Physician
Primary
—
OH
363L00000X
Nurse Practitioner
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2255376
—
OH
05
—
7100222880
—
KY
05
—
7100222890
—
KY
Enumeration date
05/07/2007
Last updated
06/16/2023
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