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CAH261312-02 HARRISON COUNTY COMMUNITY HOSPITAL (Terminated)
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Main Details
Name
HARRISON COUNTY COMMUNITY HOSPITAL
Subdivision Name
HARRISON COUNTY FAMILY HEALTH CENTER
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261312-02
Medicare Provider Number
261312
Outpatient Facility Provider Number
268696
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/11/2014
Last Recertification Date
9/1/2021
Termination Date
Termination Reason
1/1/2022
Site closure
Contacts
Authorizing Official
Harrison County Community Hospital
Christina Gillespie, CEO
(660) 425-2211 Ext: 2250
Primary Contact
Harrison County Community Hospital
Doug Brandt, CFO
(660) 425-0307
Addresses
Street Address
2703 MILLER ST
BETHANY, MO 64424-2704
Billing Address
HARRISON COUNTY COMMUNITY HOSPITAL
2600 Miller Street
BETHANY, MO 64424
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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