MEDICARE: HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital	372-16	MO
2	275N00000X	Medicare Defined Swing Bed Hospital Unit	372-17	MO

General Provider Information

NPI Number	:	1265512917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	514 N 39TH ST
Second Line	:
City	:	BETHANY
State	:	MO
Zip	:	64424-2706
Country	:	US
Telephone Number	:	660-425-2211
Fax Number	:	660-425-2366

Provider Business Practice Location Address
First Line	:	514 N 39TH ST
Second Line	:
City	:	BETHANY
State	:	MO
Zip	:	64424-2706
Country	:	US
Telephone Number	:	660-425-2211
Fax Number	:	660-425-7782

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	CHRISTINA GILLESPIE
Credential	:
Telephone Number	:	660-425-2211

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	06/24/2026

Similar Medicare Providers

1528062569 — HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
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514 N 39TH ST
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64424-2706

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1043693104 — KIMBERLY BAKER M.D.
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1063704161 — DR. KENNETH CHAD LAMBERT D.O.
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1053601716 — MR. CEPHAS PANIAMOGAN FNP-C
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