NPIMap

Organization Active NPI

Harrison County Hospital

Doing business as Women's Healthcare of Southern Indiana

  • Obstetrics & Gynecology Physician
  • Georgetown, IN
National Provider Identifier
1396439840
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HARRISON COUNTY HOSPITAL
Doing business as
Women's Healthcare of Southern Indiana
Practice address
5300 State Road 64 Ste 103
Georgetown, IN 47122-9178
Phone
(812) 923-6200
NPI assigned
Jun 7, 2023
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald Duval
Title
Cfo
Phone
(812) 734-3861

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary
Nurse Practitioner 363L00000X NU
Family Nurse Practitioner 363LF0000X NU
Women's Health Nurse Practitioner 363LW0102X NU

Addresses

Primary practice location

5300 State Road 64 Ste 103
Georgetown, IN 47122-9178

Mailing address

PO Box 38
Corydon, IN 47112-0038
Phone (812) 738-4251

Other practice location 1

1263 Hospital Dr NW Ste 260
Corydon, IN 47112-2174
Phone (812) 738-4251

Other names 1

  • Women's Healthcare of Southern Indiana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406000076 IN Part B Supplier - Clinic/Group Practice 9032007208 Receives reassigned benefits from 75 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corydon, IN; New Salisbury, IN; Georgetown, IN

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Harrison County Hospita36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1396439840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471120038",
            "telephone_number": "812-738-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 STATE ROAD 64 STE 103",
            "city": "GEORGETOWN",
            "state": "IN",
            "postal_code": "471229178",
            "telephone_number": "812-923-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1263 Hospital Dr NW Ste 260",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471122174",
            "country_code": "US",
            "telephone_number": "812-738-4251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARRISON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "DUVAL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "812-734-3861"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Healthcare of Southern Indiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Women's Healthcare of Southern Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.