HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT (NPI# 1154645745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154645745 |
Entity Type | Organization |
Organization Name | HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT |
Other Organization Name | BETHANY MEDICAL CLINIC |
Practice Address |
3202 Miller St Bethany MO 64424-2713 |
Practice Telephone | 6604253154 |
Practice Fax Number | 6604256663 |
Mailing Telephone | 6604253154 |
Mailing Fax Number | 6604256663 |
Enumeration Date | 2010-03-25 |
Last Update Date | 2019-07-25 |
Authorized Official Name | CHRISTINA GILLESPIE (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6604252211 |
Is Organization Subpart | Y |
Parent Organization Name | HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 598581601 | 05 | |
MO | BLUE CROSS BLUE SHIELD | 43650011 | 01 |
Other Name | Type Code |
---|---|
Bethany Medical Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114348083 | Harrison County Community Hospital District | Family Medicine | 16027 Locust Street, Eagleville, MO 64442 | 2013-12-19 |
1629075015 | Harrison County Community Hospital District | Home Health | 3202 Miller St Ste B, Bethany, MO 64424-2713 | 2005-06-30 |
1528062569 | Harrison County Community Hospital District | General Acute Care Hospital | 2600 Miller St, Bethany, MO 64424-2701 | 2005-06-08 |
1649274606 | Harrison County Community Hospital District | Nursing Care | 3202 Miller St, Suite B, Bethany, MO 64424-2713 | 2005-06-08 |
1487073722 | Harrison County Community Hospital District | Family Medicine | 400 N Fullerton St, Princeton, MO 64673-1418 | 2014-04-15 |
1639591332 | Harrison County Community Hospital District | General Acute Care Hospital | 2600 Miller St, Bethany, MO 64424-2701 | 2014-01-15 |
1215358882 | Harrison County Community Hospital District | Family Medicine | 2703 Miller St, Bethany, MO 64424-2704 | 2013-12-26 |
1679863906 | Harrison County Community Hospital District | Family Medicine | 2600 Miller St, Bethany, MO 64424-2701 | 2011-04-07 |
1265512917 | Harrison County Community Hospital District | General Acute Care Hospital | 2600 Miller St, Bethany, MO 64424-2701 | 2006-10-17 |
Street Address |
3202 MILLER ST |
City | BETHANY |
State | MO |
Zip Code | 64424-2713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649274606 | Harrison County Community Hospital District | Nursing Care | 3202 Miller St, Suite B, Bethany, MO 64424-2713 | 2005-06-08 |
1164062972 | Kelly Ann Clark | Family Medicine | 3202 Miller St, Bethany, MO 64424-2713 | 2020-01-09 |
1649660812 | Ashley Harding | Nurse Practitioner | 3202 Miller St, Bethany, MO 64424-2713 | 2015-01-27 |
1063704161 | Kenneth Chad Lambert | Family Medicine | 3202 Miller St, Bethany, MO 64424-2713 | 2011-05-07 |
1053601716 | Cephas Paniamogan | Nurse Practitioner | 3202 Miller St, Bethany, MO 64424-2713 | 2011-04-15 |
1548385735 | Amy B Harris | Nurse Practitioner | 3202 Miller St, Bethany, MO 64424-2713 | 2007-03-20 |
1851496863 | Bethany Medical Rural Health Clinic | Clinic/Center | 3202 Miller St, Bethany, MO 64424-2713 | 2006-09-14 |
1255303681 | Tamula K Maxwell | Physician Assistant | 3202 Miller St, Bethany, MO 64424-2713 | 2006-02-01 |
1639176365 | Natu B Patel | Family Medicine | 3202 Miller St, Bethany, MO 64424-2713 | 2005-07-07 |
1154328219 | Hansa N Patel | Family Medicine | 3202 Miller St, Bethany, MO 64424-2713 | 2005-07-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376739946 | Cynthia Sue Butler | Social Worker | 4118 Miller St, Bethany, MO 64424 | 2007-09-18 |
1891906848 | Sudarsan Chavala | Ophthalmology | 1303 N 25th, Bethany, MO 64424 | 2007-05-24 |
1972521300 | Gary Ernest Anderson | Chiropractor | 3307 Miller, Bethany, MO 64424 | 2006-07-17 |
1558397661 | N & R of Crestview LLC | Skilled Nursing Facility | 1313 South 25th Street, Bethany, MO 64424 | 2006-06-23 |
1639147507 | Jayne E. Doolittle | Nurse Practitioner | 2703 Miller St., Bethany, MO 64424 | 2006-03-08 |
1205436946 | Douglas Faulkner | Pharmacist | 810 S 37th St, Bethany, MO 64424 | 2020-10-30 |
1184088593 | Patricia Slaughter | Social Worker | 2600 Miller St, Bethany, MO 64424 | 2016-04-12 |
1912235706 | Bethany Counseling Center LLC | Social Worker | 4118 Miller St, Bethany, MO 64424 | 2009-12-07 |
1568430437 | Gregory A Dean | Family Medicine | 2703 Miller St, Bethany, MO 64424 | 2006-03-08 |
1508834409 | Terry E. Hall | General Practice | 2703 Miller St., Bethany, MO 64424-0233 | 2006-03-08 |
Find all providers in zip 64424 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710022249 | Terry E. Hall | Clinic/Center | 2703 Miller St, Bethany, MO 64424-2704 | 2007-02-21 |
1851496863 | Bethany Medical Rural Health Clinic | Clinic/Center | 3202 Miller St, Bethany, MO 64424-2713 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.