Basic Information
| Provider Information | |||||||||
| NPI: | 1821617531 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARRISON COMMUNITY HOSPITAL INC | ||||||||
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| OtherOrganizationName: | HARRISON COMMUNITY HOSPITAL RURAL HEALTH CLINIC | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 MEDICAL PARK | ||||||||
| Address2: | |||||||||
| City: | WHEELING | ||||||||
| State: | WV | ||||||||
| PostalCode: | 260036300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3042433124 | ||||||||
| FaxNumber: | 3042431131 | ||||||||
| Practice Location | |||||||||
| Address1: | 951 E MARKET ST | ||||||||
| Address2: | |||||||||
| City: | CADIZ | ||||||||
| State: | OH | ||||||||
| PostalCode: | 439079799 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7409424631 | ||||||||
| FaxNumber: | 7409426301 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2020 | ||||||||
| LastUpdateDate: | 04/24/2020 | ||||||||
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| AuthorizedOfficialLastName: | RIESMEYER | ||||||||
| AuthorizedOfficialFirstName: | JANICE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTIALING COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 3042433124 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | HARRISON COMMUNITY HOSPITAL INC | ||||||||
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| NPICertificationDate: | 04/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.