Healthcare Provider Details

I. General information

NPI: 1154437424
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

1601 E WHISKEY RUN RD NE
NEW SALISBURY IN
47161-9345
US

IV. Provider business mailing address

PO BOX 38
CORYDON IN
47112-0038
US

V. Phone/Fax

Practice location:
  • Phone: 812-347-9977
  • Fax: 812-347-0412
Mailing address:
  • Phone: 812-738-7830
  • Fax: 812-738-7833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

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