Harrison Healthcare PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

HARRISON HEALTHCARE PLLC

Practice address

1008 W Cherry St Ste a
Marion, IL 62959-1998

Phone

(618) 929-3233

Fax

(618) 227-0101

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

Nicole Penninger

Title

Clinic Manager

Phone

(618) 992-3233

Specialties & licenses 1

Addresses

Other names 1

• Core Functional Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle Butler, PA-C

  • Physician Assistant
  • Marion, IL
  • NPI 1730482951
  NPD

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1891531273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 W CHERRY ST STE A",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591998",
            "telephone_number": "618-922-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W CHERRY ST STE A",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591998",
            "telephone_number": "618-929-3233",
            "fax_number": "618-227-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "PENNINGER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "618-992-3233"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Functional Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Core Functional Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Bradford Hargraves, PHARM. D.
• Sheila Harmon
• Mahogany Harris
• Harrisburg Medical Center Inc
• Harrisburg Medical Center Inc
• Andrew Hastie
• Robert Lawrence Hatchett, M.D.
• Anna Morning Hatgidakis
• Haven House
• Jennifer Michelle Hawthorne, PHARM.D.

• Health Service Clinic/Center in Marion, IL
• Providers in Marion, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.