Organization
OHIO COUNTY HOSPITAL CORPORATION
Active
Other names
Ohio County Family Care Beaver Dam
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DAUGHERTY (PFS DIRECTOR)
(270) 504-1940
Entity
Organization
Contact information
Practice address
1313 N MAIN ST, BEAVER DAM, KY 42320
(270) 274-9928
Mailing address
PO BOX 148, HARTFORD, KY 42347-0148
(270) 274-9928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000530483
ANTHEM
KY
Enumeration date
08/21/2007
Last updated
03/19/2024
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