# HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
- **Other names:** North Harrison Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114348083
- **Legal business name:** HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
- **Authorized official:** MS. CHRISTINA GILLESPIE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (660) 425-2211

## Contact information

- **Practice address:** 16027 LOCUST STREET, EAGLEVILLE, MO 64442
- **Practice address phone:** (660) 867-5111
- **Practice address fax:** (660) 867-3111
- **Mailing address:** 16027 LOCUST STREET, EAGLEVILLE, MO 64442
- **Mailing address phone:** (660) 867-5111
- **Mailing address fax:** (660) 867-3111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2013
- **Last updated:** 03/18/2021
