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CAH261312-03 HARRISON COUNTY COMMUNITY HOSPITAL (Active)
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Main Details
Name
HARRISON COUNTY COMMUNITY HOSPITAL
Subdivision Name
NORTH HARRISON MEDICAL CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261312-03
Medicare Provider Number
261312
Outpatient Facility Provider Number
268714
Additional Details
Current Program Status
Active
Registration Date
10/8/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/22/2015
Last Recertification Date
8/27/2024
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
16027 LOCUST ST
EAGLEVILLE, MO 64442
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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