NPIMap

Organization Active NPI

Harrison Memorial Hospital

  • General Acute Care Hospital
  • Cynthiana, KY
National Provider Identifier
1629084702
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HARRISON MEMORIAL HOSPITAL
Practice address
1210 Ky Highway 36 E
Cynthiana, KY 41031-7498
Phone
(859) 234-2300
Fax
(859) 235-3699
NPI assigned
Jul 31, 2006
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Dr. Stephen K. Toadvine
Title
Ceo
Phone
(859) 235-3503

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X KY
General Acute Care Hospital 282N00000X NU Primary
Early Intervention Provider Agency 252Y00000X NU

Addresses

Primary practice location

1210 Ky Highway 36 E
Cynthiana, KY 41031-7498

Mailing address

1210 Ky Highway 36 E
Cynthiana, KY 41031-7498
Phone (859) 234-2300

Other identifiers 2

IdentifierTypeStateIssuer
000000054476OtherKYANTHEM LEGACY PROV. #
01008341MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040209000207 KY Part B Supplier - Clinic/Group Practice 8628961018 Receives reassigned benefits from 56 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cynthiana, KY
O20071219000677 KY Part A Provider - Hospital 8628961018 Practice locations: Cynthiana, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629084702. Details of each certification follow.

Hospital certification: CCN 180079

Legal name
HARRISON MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 8, 2002
Beds
61
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Mar 25, 1920 in KY
Enrollment address
1210 Ky Highway 36 E
Cynthiana, KY 41031-7490
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Harrison Memorial HospitalCCN 180079 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1210 KY Highway 36 E
Unit 1
Cynthiana, KY 41031
Phone (859) 234-2300

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Harland Hatter Individual Corporate DirectorChairman Elect Jan 1, 2018
James O Calder Individual Corporate OfficerChief of Staff Jan 1, 2024
Jacqueline Burrell Individual Corporate DirectorBoard Member Jan 1, 2022
Wayne Conner Individual Corporate DirectorBoard Member Jan 1, 2022
Stephen Toadvine Individual Corporate OfficerCmo May 1, 2024
Peggy Lair Individual Corporate OfficerCfo Aug 1, 2021
Kathy Tussey Individual Corporate OfficerCeo May 1, 2024
Maribeth Midden Individual Corporate DirectorBoard Member Jan 1, 2022
David Asher Individual W-2 Managing EmployeeChief Administrative Officer Sep 1, 2013
Patrick Darnell Individual Corporate DirectorBoard Member Jan 1, 2018

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 9

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.

Affiliated clinicians 157

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 157

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1629084702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317498",
            "telephone_number": "859-234-2300",
            "fax_number": "859-235-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317498",
            "telephone_number": "859-234-2300",
            "fax_number": "859-235-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "TOADVINE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-235-3503",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM LEGACY PROV. #",
            "identifier": "000000054476",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01008341",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

Verify at the official NPI Registry.