Provider Demographics
NPI:1558242255
Name:ASHLAND HOSPITAL COPORATION
Entity type:Organization
Organization Name:ASHLAND HOSPITAL COPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:NIEMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-408-9565
Mailing Address - Street 1:617 23RD ST STE 212
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-2883
Mailing Address - Country:US
Mailing Address - Phone:606-408-8485
Mailing Address - Fax:606-324-1351
Practice Address - Street 1:617 23RD ST STE 212
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2883
Practice Address - Country:US
Practice Address - Phone:606-408-8485
Practice Address - Fax:606-324-1351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty