Provider Demographics
NPI:1578995528
Name:HARRISON COUNTY HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:HARRISON COUNTY HOSPITAL ASSOCIATION
Other - Org Name:FIRST IN PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:J
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-927-6275
Mailing Address - Street 1:PO BOX 1599
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75671-1599
Mailing Address - Country:US
Mailing Address - Phone:903-927-6000
Mailing Address - Fax:903-934-5172
Practice Address - Street 1:304 UNIVERSITY AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-5210
Practice Address - Country:US
Practice Address - Phone:903-935-9441
Practice Address - Fax:903-938-1246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health