NPIMap

Organization Active NPI

Harrison County Hospital

  • Critical Access Hospital
  • Corydon, IN
National Provider Identifier
1851378137
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
06-004773-1 Issued in IN
Legal business name
HARRISON COUNTY HOSPITAL
Practice address
1141 Hospital Drive NW
Corydon, IN 47112-2164
Phone
(812) 738-7865
Fax
(812) 738-7833
NPI assigned
Dec 28, 2005
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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) 738-4251

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 06-004773-1 IN
Critical Access Hospital Clinic/Center 261QC0050X 05005073-1 IN
Critical Access Hospital Clinic/Center 261QC0050X 06-004773-1 IN
Medicare Defined Swing Bed Hospital Unit 275N00000X NU
General Acute Care Hospital 282N00000X 05005073-1 IN
General Acute Care Hospital 282N00000X 06-004773-1 IN
Critical Access Hospital 282NC0060X 05005073-1 IN
Critical Access Hospital 282NC0060X 06-004773-1 IN Primary
Clinical Medical Laboratory 291U00000X 05005073-1 IN
Clinical Medical Laboratory 291U00000X 06-004773-1 IN
Ambulance 341600000X 05005073-1 IN
Ambulance 341600000X 06-004773-1 IN
Ambulance 341600000X 0325 IN
Ambulance 341600000X NU
Land Ambulance 3416L0300X NU

Addresses

Primary practice location

1141 Hospital Drive NW
Corydon, IN 47112-2164

Mailing address

1141 Hospital Dr NW
Corydon, IN 47112-1774
Phone (812) 738-7865

Other names 1

  • Harrison County Hospital Lab Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN3 enrollments

Enrollment records 3

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
O20060105000435 IN Part A Provider - Critical Access Hospital 9032007208 3 other NPIs on this enrollment
Practice locations: Corydon, IN
O20110124000758 IN Part A Provider - Critical Access Hospital 9032007208 Practice locations: Corydon, IN

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1851378137. Details of each certification follow.

Hospital certification: CCN 151331

Legal name
HARRISON COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 15, 2005
Last certification
Jul 3, 2017
Beds
25
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
1141 Hospital Drive NW
Corydon, IN 47112-2164

Hospital certification: CCN 15Z331

Legal name
HARRISON COUNTY HOSPITAL
Doing business as
HARRISON COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
1141 Hospital Drive NW
Corydon, IN 47112-2164
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 11

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

Other NPIs on the same Medicare enrollment 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Harrison County HospitalCCN 151331 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Richard D Brown Individual Other Feb 18, 2022
Harris Whitis Individual Other Jun 1, 2021
OtherBoard Member Jan 1, 2022
Judy Hess Individual Other Jan 1, 2016 100%
Corporate OfficerBoard Member Jan 1, 2016 100%
Charles Wiley Individual Corporate OfficerCfo May 28, 2018 100%
W-2 Managing EmployeeCfo Jun 19, 1995 100%
Mark B Wiseman Individual OtherBoard Member Jan 1, 2022
Lisa F Clunie Individual W-2 Managing EmployeeChief Executive Officer Jan 8, 2022
Corporate OfficerChief Executive Officer Jan 8, 2022 100%
W-2 Managing Employee Jul 26, 2004 100%
Larry Shickles Individual Other Feb 18, 2022
Stephen a Bodney Individual Other Feb 18, 2022
Kathy Shireman Individual Other Jan 1, 2017 100%
OtherBoard Member Jan 1, 2022
Tina Nichols Individual W-2 Managing EmployeePatient Account Manager Jan 23, 2023
Harrison County Hospital Organization, Corydon, IN 5% Or Greater Direct Ownership Interest Sep 22, 2006 100%

Owners & managing parties with NPI records 14

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

View all 14

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Orchard Pointe Health CampusKendallville, IN, CCN 155851 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Harrison Springs Health CampusCorydon, IN, CCN 155852 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
The Springs of MooresvilleMooresville, IN, CCN 155842 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2022
River Terrace Health CampusMadison, IN, CCN 155849 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 8, 2018
Thornton Terrace Health CampusHanover, IN, CCN 155734 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020
St Andrews Health CampusBatesville, IN, CCN 155742 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 23, 2005
Ridgewood Health CampusLawrenceburg, IN, CCN 155789 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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 230

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

View all 230

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1851378137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 HOSPITAL DR NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471121774",
            "telephone_number": "812-738-7865",
            "fax_number": "812-738-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 HOSPITAL DRIVE NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122164",
            "telephone_number": "812-738-7865",
            "fax_number": "812-738-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "DUVAL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "812-738-4251"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "06-004773-1",
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "IN",
            "license": "05005073-1",
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "IN",
            "license": "06-004773-1",
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "05005073-1",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "06-004773-1",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IN",
            "license": "05005073-1",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IN",
            "license": "06-004773-1",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "05005073-1",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "06-004773-1",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "05005073-1",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "06-004773-1",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0325",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison County Hospital Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.