HARRISON COUNTY HOSPITAL (NPI# 1336256361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336256361 |
| Entity Type | Organization |
| Organization Name | HARRISON COUNTY HOSPITAL |
| Other Organization Name | HARRISON COUNTY HOSPITAL PHYSICIANS |
| Practice Address |
1141 Hospital Dr Nw Corydon IN 47112-2164 |
| Practice Telephone | 8127387865 |
| Practice Fax Number | 8127387833 |
| Mailing Telephone | 8127387865 |
| Mailing Fax Number | 8127387833 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | JEFFREY DAVIS (CFO) |
| Authorized Official Telephone | 8127387865 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 06-004773-1 | IN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 05005073-1 | IN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 06-004773-1 | IN | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 05005073-1 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAILROAD MEDICARE | CE0642 | 01 |
| IN | ANTHEM | 000000198846 | 01 |
| KY | 65940538 | 05 | |
| IN | 100268260A | 05 |
| Other Name | Type Code |
|---|---|
| HARRISON COUNTY HOSPITAL PHYSICIANS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487120226 | Harrison County Hospital | Family Medicine | 5855 N Hwy 111 Se, Elizabeth, IN 47119-9039 | 2018-10-19 |
| 1598119968 | Harrison County Hospital | Skilled Nursing Facility | 702 N Sawyer Rd, Kendallville, IN 46755-2532 | 2016-04-21 |
| 1669826038 | Harrison County Hospital | Skilled Nursing Facility | 871 Pacer Dr Nw, Corydon, IN 47112-2145 | 2016-04-21 |
| 1578938650 | Harrison County Hospital | Skilled Nursing Facility | 302 North Johnson Road, Mooresville, IN 46158 | 2015-12-01 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1700126976 | Harrison County Hospital | Family Medicine | 1263 Hospital Dr Nw Ste 200, Corydon, IN 47112-2174 | 2013-02-25 |
| 1326156670 | Harrison County Hospital | Obstetrics & Gynecology | 266 Atwood St, Corydon, IN 47112-1732 | 2006-08-28 |
| 1801902192 | Harrison County Hospital | Pain Medicine | 1263 Hospital Dr, Suite 270, Corydon, IN 47112-1878 | 2006-08-21 |
| 1710093091 | Harrison County Hospital | Internal Medicine | 368 W Old State Road 62, Leavenworth, IN 47137-2290 | 2006-08-21 |
| 1851378137 | Harrison County Hospital | Internal Medicine | 1141 Hospital Drive Nw, Corydon, IN 47112-2164 | 2005-12-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HARRISON COUNTY HOSPITAL | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Indiana Business Entities | HARRISON COUNTY HOSPITAL | Formed Pursuant To Ic 16-22-8-6, "other Entity" Under 23-15-1-5-, To Provide for Assumed Name, .., IN |
| Street Address |
1141 HOSPITAL DR NW |
| City | CORYDON |
| State | IN |
| Zip Code | 47112-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640154 | Rockcastle Emergency Group, LLC | Physician Assistant | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 | 2020-08-21 |
| 1245884949 | Nancy Russel | Health Educator | 1141 Hospital Dr Nw, Corydon, IN 47112-1774 | 2019-07-31 |
| 1497309223 | Patricia Thomason Mangin | Health Educator | 1141 Hospital Dr Nw, Corydon, IN 47112-1774 | 2019-07-30 |
| 1124671490 | Jessica Nicole King | Nurse Practitioner | 1141 Hospital Dr Nw, Corydon, IN 47112-1774 | 2019-07-16 |
| 1194383463 | Harrison County Hospital | Health Educator | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 | 2019-06-03 |
| 1497107403 | Daniel James Cheney | Nurse Practitioner | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 | 2016-07-01 |
| 1932572708 | Sanctuary Emergency Physicians, LLC | Physician Assistant | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 | 2015-11-03 |
| 1942672803 | Sentinel Emergency Physicians, LLC | Physician Assistant | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 | 2015-10-30 |
| 1902214455 | Harrison County Hospital | Clinical Medical Laboratory | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 | 2014-07-29 |
| 1184990020 | Harrison County Hospital | Nurse Anesthetist, Certified Registered | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 | 2012-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073544 | Frances M Lasley | Massage Therapist | 1300 N Old Hwy 135, Ste 3, Corydon, IN 47112 | 2020-04-30 |
| 1730744525 | Elizabeth Walden-fisher | Social Worker | Lifespring Health Systems, 535 Country Club Road, S.e., Corydon, IN 47112 | 2019-05-07 |
| 1770927030 | Hannah Wallace | Speech-Language Pathologist | 1079 Alexis Ave Ne, Corydon, IN 47112 | 2013-04-17 |
| 1346590502 | Rocky Mountain Holdings LLC | Ambulance | 1269 Hospital Dr Nw, Corydon, IN 47112 | 2012-09-14 |
| 1295011294 | Karen Lynn Vannis | Pharmacist | 1716 Hwy 337 Nw, Corydon, IN 47112 | 2011-10-24 |
| 1164710109 | Chris Alan Bezy | Social Worker | 2179 Liberty Way Nw, Corydon, IN 47112 | 2011-07-12 |
| 1902102940 | William Thomas Logsdon Sr. | Hearing Instrument Specialist | 925 Settler Trace, Corydon, IN 47112 | 2011-02-09 |
| 1841507191 | Donna Richmond | Specialist | 150 Beechmont Dr, Harrison Health and Rehabilitation Center, Corydon, IN 47112 | 2010-09-08 |
| 1356670053 | Harrison Township Fire Protection District | Ambulance | 120 Hilltop Dr, Corydon, IN 47112 | 2009-12-09 |
| 1982852083 | Linda Kaufer | Physical Therapy Assistant | 150 Beechmont Drive, Corydon, IN 47112 | 2008-09-03 |
| Find all providers in zip 47112 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356327613 | Thomas R Radice | Emergency Medicine | 3292 Dixie Rd Sw, Corydon, IN 47112-0007 | 2005-12-19 |
| 1972894665 | Prairie Trails Emergency Physicians | Emergency Medicine | 417 S East St, Corydon, IA 50060-1860 | 2011-04-28 |
| 1326286626 | Constitution Elm Emergency Physicians LLC | Emergency Medicine | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 | 2009-01-26 |
| 1215137666 | Michael John Savino | Emergency Medicine | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 | 2007-07-24 |
| 1255387825 | Graydon B Cummins | Emergency Medicine | 245 Atwood St, Corydon, IN 47112-1738 | 2006-05-25 |
| 1649224601 | Marvin Rush | Emergency Medicine | 245 Atwood St, Corydon, IN 47112-1738 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358255 | Vyvian Charlene Lawrence | Emergency Medicine | 5939 W Lincoln Hwy, Crown Point, IN 46307-9604 | 2020-08-28 |
| 1508358128 | Antonino Bucca | Emergency Medicine | 720 Eskenazi Ave Bldg 3, Indianapolis, IN 46202-5187 | 2018-05-30 |
| 1124518931 | Evan Mitchell Landry Tomkiewicz | Emergency Medicine | 720 Eskenazi Ave Fl Ft3, Indianapolis, IN 46202-5187 | 2018-05-16 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1760913891 | Nathan Francis Marcinkowski | Emergency Medicine | 216 N 4th St Ste 205, Lafayette, IN 47901-1323 | 2017-03-21 |
| 1154777613 | Michael J Bojrab | Emergency Medicine | 6720 Kirkdale Dr, Fort Wayne, IN 46815-5524 | 2016-05-13 |
| 1114307063 | Grant Fabian Chernoby | Emergency Medicine | 701 N Senate Ave # B401, Indianapolis, IN 46202-3111 | 2015-06-05 |
| 1457730830 | Patrick Lee Studtman | Emergency Medicine | 615 N. Michigan Street, Emergency Department, South Bend, IN 46601-1033 | 2015-05-19 |
| 1861888430 | Enola Okonkwo | Emergency Medicine | 9785 Valley Springs Blvd, Fishers, IN 46037-8764 | 2015-04-10 |
| 1518355882 | Marlin R. Gray | Emergency Medicine | 925 N. County Rd., 1100e, Otwell, IN 47564 | 2015-01-08 |
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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.