Provider Demographics
NPI:1922024207
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:740-942-8370
Mailing Address - Fax:740-942-3215
Practice Address - Street 1:966 E. MARKET STREET
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:740-942-8370
Practice Address - Fax:740-942-3215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0435872Medicaid
OH367139Medicare ID - Type UnspecifiedPROVIDER NUMBER