Organization
HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
Active
Parent organization
HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
Other names
Bethany Medical Clinic, HCCH Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
Authorized official
CHRISTINA GILLESPIE (CHIEF EXECUTIVE OFFICER)
(660) 425-2211
Entity
Organization
Contact information
Practice address
3202 MILLER ST, BETHANY, MO 64424-2713
(660) 425-3154
(660) 425-6663
Mailing address
3202 MILLER ST, BETHANY, MO 64424-2713
(660) 425-3154
(660) 425-6663
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43650011
BLUE CROSS BLUE SHIELD
MO
05
—
598581601
—
MO
Enumeration date
03/25/2010
Last updated
09/21/2021
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