Provider Demographics
NPI:1588237150
Name:HARRISON MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:HARRISON MEMORIAL HOSPITAL
Other - Org Name:HMH PRIMARY CARE PLEASANT STREET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:TOADVINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-235-3503
Mailing Address - Street 1:1210 KENTUCKY HIGHWAY 36 E
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031
Mailing Address - Country:US
Mailing Address - Phone:859-234-2300
Mailing Address - Fax:859-235-3699
Practice Address - Street 1:439 E PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-1827
Practice Address - Country:US
Practice Address - Phone:859-234-4494
Practice Address - Fax:859-234-4498
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARRISON MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-21
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health