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NPI Code Detail

MEDICARE: HARRISON COUNTY HOSPITAL ASSOCIATION

MEDICARE: HARRISON COUNTY HOSPITAL ASSOCIATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100U15EOTHERTXBLUE CROSS

General Provider Information

NPI Number : 1073586475
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARRISON COUNTY HOSPITAL ASSOCIATION
Provider Business Mailing Address
First Line : PO BOX 1325
Second Line :
City : MARSHALL
State : TX
Zip : 75671-1325
Country : US
Telephone Number : 903-927-6315
Fax Number :
Provider Business Practice Location Address
First Line : 805 LINDSEY DR
Second Line :
City : MARSHALL
State : TX
Zip : 75670-5271
Country : US
Telephone Number : 903-927-6315
Fax Number :
Authorized Official
Title or Position : CEO
Name : RUSSELL COLLIER
Credential :
Telephone Number : 903-927-6734
Provider Enumeration Date : 02/08/2006
Last Update Date : 04/26/2017

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Directions to “HARRISON COUNTY HOSPITAL ASSOCIATION ” Practice Location

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