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General NPI Number Information
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NPI Number | 1770669095
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Entity Type | Organization
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Legal Business Name | HARRISON COUNTY HOSPITAL
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Dates
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Enumeration Date | 10/29/2006
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 188 THORNTON ROAD
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City | HANOVER
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State | IN
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Zip | 47243-9414
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Country | US
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Telephone | 812-866-8396
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Fax |
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Provider Business Mailing Address
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Address Line | 188 THORNTON ROAD
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City | HANOVER
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State | IN
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Zip | 47243-9414
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Country | US
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Telephone | 812-866-8396
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CHARLES WILEY
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Credential |
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Telephone | 812-738-4251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 060040751
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License Number State | IN
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