Healthcare Provider Details

I. General information

NPI: 1801902192
Provider Name (Legal Business Name): HARRISON COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1263 HOSPITAL DR SUITE 270
CORYDON IN
47112-1878
US

IV. Provider business mailing address

PO BOX 38
CORYDON IN
47112-0038
US

V. Phone/Fax

Practice location:
  • Phone: 812-738-0177
  • Fax: 812-734-3790
Mailing address:
  • Phone: 812-738-4251
  • Fax: 812-738-7833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DONALD DUVAL
Title or Position: CFO
Credential:
Phone: 812-738-4251