MEDICARE: HARRISON COUNTY HOSPITAL

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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1669826038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRISON COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 221648
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40252-1648
Country	:	US
Telephone Number	:	502-412-5847
Fax Number	:

Provider Business Practice Location Address
First Line	:	871 PACER DR NW
Second Line	:
City	:	CORYDON
State	:	IN
Zip	:	47112-2145
Country	:	US
Telephone Number	:	502-412-5847
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	CHARLES WILEY
Credential	:
Telephone Number	:	812-738-4251

Provider Enumeration Date	:	04/21/2016
Last Update Date	:	07/18/2022

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Directions to “HARRISON COUNTY HOSPITAL ” Practice Location

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