# HARRISON COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HARRISON COUNTY EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073620001
- **Authorized official:** DONALD DUVAL (CFO)
- **Authorized official phone:** (812) 734-3861

## Contact information

- **Practice address:** 1141 HOSPITAL DR NW, CORYDON, IN 47112-2164
- **Practice address phone:** (812) 738-4251
- **Practice address fax:** (812) 738-7833
- **Mailing address:** PO BOX 38, CORYDON, IN 47112-0038
- **Mailing address phone:** (812) 738-4251
- **Mailing address fax:** (812) 738-7833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0325 | IN | Yes |
| 341600000X | Ambulance | 05005073-1 | IN | — |
| 341600000X | Ambulance | 06-004773-1 | IN | — |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 11/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000054339 | ANTHEM IN | IN |
| 05 | — | 01340306 | — | KY |
| 05 | — | 100128260A | — | IN |
| 05 | — | 1065774 | — | KY |
| 01 | — | 36649630'0 | BLACK LUNG | IN |