Provider Demographics
NPI:1497962807
Name:HARRISON COMMUNITY HOSPITAL INC
Entity Type:Organization
Organization Name:HARRISON COMMUNITY HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBLASIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-942-6201
Mailing Address - Street 1:951 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:CADIZ
Mailing Address - State:OH
Mailing Address - Zip Code:43907-9799
Mailing Address - Country:US
Mailing Address - Phone:740-942-4631
Mailing Address - Fax:740-942-2749
Practice Address - Street 1:951 E MARKET ST
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:OH
Practice Address - Zip Code:43907-9799
Practice Address - Country:US
Practice Address - Phone:740-942-4631
Practice Address - Fax:740-942-2749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10223416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000184762OtherANTHEM AMBULANCE
OH2547686Medicaid
OH000000184762OtherANTHEM AMBULANCE