Provider Demographics
NPI:1962578609
Name:HERMANN AREA HOSPITAL DISTRICT
Entity type:Organization
Organization Name:HERMANN AREA HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-486-2191
Mailing Address - Street 1:PO BOX 470
Mailing Address - Street 2:
Mailing Address - City:HERMANN
Mailing Address - State:MO
Mailing Address - Zip Code:65041-0470
Mailing Address - Country:US
Mailing Address - Phone:573-486-2191
Mailing Address - Fax:573-486-3743
Practice Address - Street 1:509 WEST 18TH ST
Practice Address - Street 2:
Practice Address - City:HERMANN
Practice Address - State:MO
Practice Address - Zip Code:65041
Practice Address - Country:US
Practice Address - Phone:573-486-2191
Practice Address - Fax:573-486-3743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO107603OtherHEALTHLINK
MOUNITED HEALTHCAREOther5020050
MO45827OtherGROUP HEALTH PLAN
MO261314OtherMERCY
MO77OtherBLUE CROSS
MO8175OtherHEALTHCARE USA
MO45827OtherGROUP HEALTH PLAN