MEDICARE: HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT

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
1	207Q00000X	Family Medicine Physician
2	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1215358882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	2703 MILLER ST
Second Line	:
City	:	BETHANY
State	:	MO
Zip	:	64424-2704
Country	:	US
Telephone Number	:	660-425-7443
Fax Number	:	660-425-6516

Provider Business Practice Location Address
First Line	:	2703 MILLER ST
Second Line	:
City	:	BETHANY
State	:	MO
Zip	:	64424-2704
Country	:	US
Telephone Number	:	660-425-7443
Fax Number	:	660-425-6516

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. CHRISTINA GILLESPIE
Credential	:
Telephone Number	:	660-425-2211

Provider Enumeration Date	:	12/26/2013
Last Update Date	:	03/18/2021

Similar Medicare Providers

1649274606 — HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
Practice Location Address:

2703 MILLER ST
BETHANY, MO
64424-2704

Practice Phone: 660-425-7863
Practice Fax: 660-425-8026

1750359626 — TERRY E. HALL, M.D
Practice Location Address:

2703 MILLER ST
BETHANY, MO
64424-2704

Practice Phone: 660-425-7443
Practice Fax: 660-425-6516

1245278753 — BETHANY EYE CENTER, LLC
Practice Location Address:

2707 MILLER ST
BETHANY, MO
64424-2704

Practice Phone: 660-425-8116
Practice Fax:

1801810189 — DR. SCOTT DALE STAATZ O.D.
Practice Location Address:

2707 MILLER ST
BETHANY, MO
64424-2704

Practice Phone: 660-425-8116
Practice Fax: 660-425-3418

1710022249 — TERRY E. HALL
Practice Location Address:

2703 MILLER ST
BETHANY, MO
64424-2704

Practice Phone: 660-425-7443
Practice Fax: 660-425-6516

1750156758 — KIMBERLY HENDREN COTA/L
Practice Location Address:

2703 MILLER ST
BETHANY, MO
64424-2704

Practice Phone: 660-425-0236
Practice Fax:

Directions to “HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.