Organization
HARRISON MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN K TOADVINE (CEO)
(859) 235-3503
Entity
Organization
Contact information
Practice address
1210 KY HIGHWAY 36 E, CYNTHIANA, KY 41031-7498
(859) 234-2300
(859) 235-3699
Mailing address
1210 KY HIGHWAY 36 E, CYNTHIANA, KY 41031-7498
(859) 234-2300
(859) 235-3699
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
100167
KY
261Q00000X
Clinic/Center
—
—
363A00000X
Physician Assistant
100167
KY
363LF0000X
Family Nurse Practitioner
100167
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056932
ANTHEM ER PROF GRP #
KY
01
—
000000063307
ANTHEM PROF SERV GRP ID
KY
01
—
0108
MEDICARE PTAN
KY
05
—
65930224
—
KY
01
—
7100346050
NP GROUP MEDICAID
KY
01
—
7100346810
PA GROUP MEDICAID
KY
Enumeration date
02/05/2007
Last updated
05/24/2023
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