Healthcare Provider Details

I. General information

NPI: 1285427104
Provider Name (Legal Business Name): HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CENTRAL AVE
PATTONSBURG MO
64670-8300
US

IV. Provider business mailing address

PO BOX 124
PATTONSBURG MO
64670-0124
US

V. Phone/Fax

Practice location:
  • Phone: 660-425-3154
  • Fax: 660-425-6663
Mailing address:
  • Phone: 660-425-3154
  • Fax: 660-425-6663

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: JAMIE LEE SMITH
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 660-425-0201