PERRY COUNTY HEALTH SYSTEM (NPI# 1467557488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467557488 |
| Entity Type | Organization |
| Organization Name | PERRY COUNTY HEALTH SYSTEM |
| Other Organization Name | PERRYVILLE FAMILY CARE CLINIC |
| Practice Address |
212 Hospital Ln Suite 101 Perryville MO 63775-1276 |
| Practice Telephone | 5735477888 |
| Practice Fax Number | 5735475481 |
| Mailing Telephone | 5735477888 |
| Mailing Fax Number | 5735475481 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | MRS. STACEY REITZEL (OFFICE MANAGER) |
| Authorized Official Telephone | 5735477888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 503318800 | 05 | |
| MO | 597917103 | 05 |
| Other Name | Type Code |
|---|---|
| Perryville Family Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1942294046 | Perry County Health System | Home Health | 2 Circle Dr, Perryville, MO 63775-1248 | 2005-09-02 |
| 1306336086 | Perry County Health System | General Acute Care Hospital | 434 N West St, Perryville, MO 63775 | 2018-05-17 |
| 1114327954 | Perry County Health System | Clinic/Center | 1508 Edgemont Blvd, Perryville, MO 63775-1231 | 2014-08-29 |
| 1447489182 | Perry County Health System | Orthopaedic Surgery | 206 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2009-07-02 |
| 1740427889 | Perry County Health System | Surgery | 212 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2009-01-12 |
| 1245360213 | Perry County Health System | Ambulance | 434 N West St, Perryville, MO 63775-1359 | 2007-03-07 |
| 1285738732 | Perry County Health System | Medicare Defined Swing Bed Unit | 434 N West St, Perryville, MO 63775-1359 | 2006-09-12 |
| 1619921160 | Perry County Health System | Clinic/Center | 206 Hospital Ln, Perryville, MO 63775-1276 | 2006-05-20 |
| 1982699328 | Perry County Health System | General Acute Care Hospital | 434 N West St, Perryville, MO 63775-1359 | 2005-09-13 |
| Street Address |
212 HOSPITAL LN SUITE 101 |
| City | PERRYVILLE |
| State | MO |
| Zip Code | 63775-1276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655619 | Darryl A Green | Family Medicine | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1276 | 2005-08-10 |
| 1518315480 | Theresa M Lipe | Nurse Practitioner | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1224 | 2016-06-01 |
| 1821438508 | Shannon Elizabeth Bulla | Pharmacist | 212 Hospital Ln, Perryville, MO 63775-1224 | 2013-06-26 |
| 1306100078 | Michelle R. Perez | Social Worker | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1276 | 2012-06-27 |
| 1740427889 | Perry County Health System | Surgery | 212 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2009-01-12 |
| 1447416292 | Marlon Cajilig Torrento | Internal Medicine | 212 Hospital Ln, Suite 200, Perryville, MO 63775-1276 | 2008-07-31 |
| 1114121514 | Joseph W. Sharlow M.d. PC | Surgery | 212 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2007-06-12 |
| 1629148135 | David M Steele | Surgery | 212 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2006-11-09 |
| 1760454888 | Meredith Gruenwald | Nurse Practitioner | 212 Hospital Ln, Suite 205, Perryville, MO 63775-1276 | 2006-02-02 |
| 1619951704 | Granville J Phillips | Obstetrics & Gynecology | 212 Hospital Ln, Suite 205, Perryville, MO 63775-1276 | 2005-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144949 | New Life Mission Inn - Missouri | Clinic/Center | 114 W. South, Perryville, MO 63775 | 2020-11-02 |
| 1881211829 | Sarah Jo Cross | Social Worker | 406 S Spring St, Ste 2, Perryville, MO 63775 | 2020-06-25 |
| 1902461908 | Health Care Pharmacy of Perryville, LLC | Pharmacy | 628 N Old St Marys Rd, Perryville, MO 63775 | 2019-05-06 |
| 1710437603 | Danielle Renee Hoeckele | Chiropractor | 1516 Edgemont Blvd Ste 100, Perryville, MO 63775 | 2016-10-04 |
| 1487024956 | Sherry Ann Goshen | Social Worker | 12 N Kings Hwy, Perryville, MO 63775 | 2015-09-28 |
| 1669801353 | Derek Adelman | Physical Therapy Assistant | 206 Hospital Lane, Ste 100, Perryville, MO 63775 | 2013-11-04 |
| 1407158678 | Perry County Memorial Hospital | Ambulance | 434 N West Street, Perryville, MO 63775 | 2010-11-22 |
| 1699928358 | East Missouri Action Agency, Inc. | Clinic/Center | 519 Old St Mary's Rd, Perryville, MO 63775 | 2008-10-28 |
| 1013171115 | Air Evac Ems Inc. | Ambulance | 4801 N Highway 51, Perryville, MO 63775 | 2008-07-17 |
| 1245457241 | Robert Schremp | Physical Therapist | 150 S. Mount Auburn Road, Cape Girardeau, MO 63775 | 2007-04-19 |
| Find all providers in zip 63775 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1700350543 | Southeast Missouri Hospital Physicians, LLC | Clinic/Center | 624 Old Saint Marys Rd, Perryville, MO 63775-1837 | 2019-01-15 |
| 1477909372 | Professional Clinics, LLC | Clinic/Center | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2016-05-10 |
| 1154563559 | Professional Clinics LLC | Clinic/Center | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2009-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| 1831515907 | Marble Hill Medical Clinic, LLC | Clinic/Center | 307 Broadway St., Marble Hill, MO 63764-8321 | 2014-03-12 |
| Find all providers with the same taxonomy | ||||
| City | PERRYVILLE |
| Zip Code | 63775 |
Please comment or provide details below to improve the information on PERRY COUNTY HEALTH SYSTEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.