1861552465 NPI number — HARRISON COUNTY MATERNAL & CHILD HEALTH

Table of content: (NPI 1861552465)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861552465 NPI number — HARRISON COUNTY MATERNAL & CHILD HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARRISON COUNTY MATERNAL & CHILD HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861552465
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
241 ATWOOD STREET, SUITE 100
Provider Second Line Business Mailing Address:
HARRISON COUNTY HEALTH & EDUCATION BUILDING
Provider Business Mailing Address City Name:
CORYDON
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47112-1878
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-738-1600
Provider Business Mailing Address Fax Number:
812-738-6473

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
241 ATWOOD STREET, SUITE 100
Provider Second Line Business Practice Location Address:
HARRISON COUNTY HEALTH & EDUCATION BUILDING
Provider Business Practice Location Address City Name:
CORYDON
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47112-1878
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-738-1600
Provider Business Practice Location Address Fax Number:
812-738-6473
Provider Enumeration Date:
12/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RILEY
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
ANNE
Authorized Official Title or Position:
MCH PROJECT DIRECTOR
Authorized Official Telephone Number:
812-738-1600

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X , with the licence number:  01050587A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100128280 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com