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
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	372500000X	Chore Provider
3	3747P1801X	Personal Care Attendant
4	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649274606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	2600 MILLER ST
Second Line	:
City	:	BETHANY
State	:	MO
Zip	:	64424-2701
Country	:	US
Telephone Number	:	660-425-2211
Fax Number	:	660-425-8026

Provider Business Practice Location Address
First Line	:	2703 MILLER ST
Second Line	:
City	:	BETHANY
State	:	MO
Zip	:	64424-2704
Country	:	US
Telephone Number	:	660-425-7863
Fax Number	:	660-425-8026

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	03/13/2023

Similar Medicare Providers

1750359626 — TERRY E. HALL, M.D
Practice Location Address:

2703 MILLER ST
BETHANY, MO
64424-2704

Practice Phone: 660-425-7443
Practice Fax: 660-425-6516

1245278753 — BETHANY EYE CENTER, LLC
Practice Location Address:

2707 MILLER ST
BETHANY, MO
64424-2704

Practice Phone: 660-425-8116
Practice Fax:

1801810189 — DR. SCOTT DALE STAATZ O.D.
Practice Location Address:

2707 MILLER ST
BETHANY, MO
64424-2704

Practice Phone: 660-425-8116
Practice Fax: 660-425-3418

1710022249 — TERRY E. HALL
Practice Location Address:

2703 MILLER ST
BETHANY, MO
64424-2704

Practice Phone: 660-425-7443
Practice Fax: 660-425-6516

1215358882 — HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
Practice Location Address:

2703 MILLER ST
BETHANY, MO
64424-2704

Practice Phone: 660-425-7443
Practice Fax: 660-425-6516

1750156758 — KIMBERLY HENDREN COTA/L
Practice Location Address:

2703 MILLER ST
BETHANY, MO
64424-2704

Practice Phone: 660-425-0236
Practice Fax:

Directions to “HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.