| Harrison County Community Hospital District | |
|
3202 Miller St Bethany MO 64424-2713 | |
| (660) 425-3154 | |
| (660) 425-6663 |
| Full Name | Harrison County Community Hospital District |
|---|---|
| Speciality | Clinic/Center |
| Location | 3202 Miller St, Bethany, Missouri |
| Authorized Official Name and Position | Christina Gillespie (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6604252211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrison County Community Hospital District 3202 Miller St Bethany MO 64424-2713 Ph: (660) 425-3154 | Harrison County Community Hospital District 3202 Miller St Bethany MO 64424-2713 Ph: (660) 425-3154 |
| NPI Number | 1154645745 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 09/21/2021 |
| Medicare PECOS PAC ID | 4587630926 |
|---|---|
| Medicare Enrollment ID | O20040907001047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154645745 | NPI | - | NPPES |
| 598581601 | Medicaid | MO | |
| 43650011 | Other | MO | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Randal T Qualls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922108422 PECOS PAC ID: 5294784740 Enrollment ID: I20050121000548 |
| Provider Name | Gregory Alan Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568430437 PECOS PAC ID: 8224082441 Enrollment ID: I20050323001410 |
| Provider Name | Cephas C Paniamogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053601716 PECOS PAC ID: 8022273994 Enrollment ID: I20120626000664 |
| Provider Name | Kenneth Chad Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063704161 PECOS PAC ID: 2365699691 Enrollment ID: I20120821001117 |
| Provider Name | Wyatt-dean A Pickering |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316178874 PECOS PAC ID: 8325194145 Enrollment ID: I20140822000752 |
| Provider Name | Kelly Ann Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164062972 PECOS PAC ID: 7911335864 Enrollment ID: I20200309000271 |
| Provider Name | Ashley Anne Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649660812 PECOS PAC ID: 6901124148 Enrollment ID: I20200309000598 |
| Provider Name | Kimberly R Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043693104 PECOS PAC ID: 1254648132 Enrollment ID: I20220504001155 |
| Provider Name | Bret D Heileson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912982075 PECOS PAC ID: 5496740573 Enrollment ID: I20240222001896 |
Cameron Regional Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 N 25th St, Bethany, MO 64424 Phone: 660-425-7333 Fax: 660-425-7346 | |
Harrison County Community Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2703 Miller St, Bethany, MO 64424 Phone: 660-425-7443 Fax: 660-425-6516 | |
Infinity Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2600 Miller St, Bethany, MO 64424 Phone: 414-462-3836 | |
Terry E. Hall Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2703 Miller St, Bethany, MO 64424 Phone: 660-425-7443 Fax: 660-425-6516 | |
Terry E. Hall, M.d Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2703 Miller St, Bethany, MO 64424 Phone: 660-425-7443 Fax: 660-425-6516 | |
Bethany Medical Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3202 Miller St, Bethany, MO 64424 Phone: 660-425-3154 Fax: 660-425-6663 |