Organization
HARRISON COUNTY HOSPITAL
Active
Other names
HARRISON COUNTY HOSPITAL PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD DUVAL (CFO)
(812) 738-4251
Entity
Organization
Contact information
Practice address
1141 HOSPITAL DRIVE NW, CORYDON, IN 47112-2164
(812) 738-7865
(812) 738-7833
Mailing address
1141 HOSPITAL DRIVE NW, CORYDON, IN 47112-2164
(812) 738-7865
(812) 738-7833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05005073-1
IN
207R00000X
Internal Medicine Physician
06-004773-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054339
ANTHEM IN
IN
05
—
01340306
—
KY
05
—
100268260A
—
IN
05
—
1065774
—
KY
01
—
151331B000000
TRAILBLAZER
IN
01
—
36649630'0
BLACK LUNG
IN
Enumeration date
08/24/2006
Last updated
11/30/2023
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