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CAH151331-10 HARRISON COUNTY HOSPITAL (Approved)
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Main Details
Name
HARRISON COUNTY HOSPITAL
Subdivision Name
HCH Elizabeth Clinic - Primary Care
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH151331-10
Medicare Provider Number
151331
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/14/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/16/2025
Last Recertification Date
Contacts
Authorizing Official
Harrison County Hospital
Lisa Marie Lieber, Chief Administrative Officer
(812) 738-7884
Primary Contact
Harrison County Hospital
Martin Cook, PHARMACY MANAGER
(812) 734-3749
Addresses
Street Address
5855 N. Highway 11 SE
Elizabeth, IN 47117
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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