Healthcare Provider Details

I. General information

NPI: 1700950573
Provider Name (Legal Business Name): HARRISON COUNTY HEALTH DEPARTMENT & HARRISON COUNTY HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 BETHANY AVENUE
BETHANY MO
64424-0425
US

IV. Provider business mailing address

1700 BETHANY AVE
BETHANY MO
64424-8363
US

V. Phone/Fax

Practice location:
  • Phone: 660-425-8319
  • Fax: 660-425-6939
Mailing address:
  • Phone: 660-425-8319
  • Fax: 660-425-6939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number051-14HO
License Number StateMO

VIII. Authorized Official

Name: COURTNEY JO CROSS
Title or Position: ADMINISTRATOR
Credential:
Phone: 660-425-6324