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General NPI Number Information
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NPI Number | 1700950573
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Entity Type | Organization
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Legal Business Name | HARRISON COUNTY HEALTH DEPARTMENT & HARRISON COUNTY HOME HEALTH
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 1700 BETHANY AVENUE
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City | BETHANY
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State | MO
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Zip | 64424-0425
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Country | US
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Telephone | 660-425-8319
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Fax | 660-425-6939
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Provider Business Mailing Address
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Address Line | 1700 BETHANY AVE
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City | BETHANY
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State | MO
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Zip | 64424-8363
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Country | US
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Telephone | 660-425-8319
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Fax | 660-425-6939
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | COURTNEY JO CROSS
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Credential |
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Telephone | 660-425-6324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 051-14HO
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License Number State | MO
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