Healthcare Provider Details
I. General information
NPI: 1841055753
Provider Name (Legal Business Name): HARRISON COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2024
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5855 N HIGHWAY 11 SE
ELIZABETH IN
47117-9039
US
IV. Provider business mailing address
PO BOX 38
CORYDON IN
47112-0038
US
V. Phone/Fax
- Phone: 812-738-4251
- Fax:
- Phone: 812-738-4251
- Fax: 812-738-7833
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DONALD
DUVAL
Title or Position: CFO
Credential:
Phone: 812-738-4251