Provider Demographics
NPI:1679785992
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:2007-05-07
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1022314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH36Z311Medicare ID - Type UnspecifiedSKILLED BED NUMBER