Basic Information
| Provider Information | |||||||||
| NPI: | 1134151137 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARRISON COMMUNITY HOSPITAL, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 951 E MARKET ST | ||||||||
| Address2: | |||||||||
| City: | CADIZ | ||||||||
| State: | OH | ||||||||
| PostalCode: | 439079799 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7409424631 | ||||||||
| FaxNumber: | 7409422749 | ||||||||
| Practice Location | |||||||||
| Address1: | 951 E MARKET ST | ||||||||
| Address2: | |||||||||
| City: | CADIZ | ||||||||
| State: | OH | ||||||||
| PostalCode: | 439079799 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7409424631 | ||||||||
| FaxNumber: | 7409422749 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 09/01/2022 | ||||||||
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| AuthorizedOfficialLastName: | PHILLIPS | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT & CEO | ||||||||
| AuthorizedOfficialTelephone: | 7409424631 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | 09/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC0060X | Y | Hospitals | General Acute Care Hospital | Critical Access |
ID Information
| ID | Type | State | Issuer | Description | 0135099 | 05 | OH | MEDICAID |