PERRY COUNTY MEMORIAL HOSPITAL (NPI# 1487217121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487217121 |
| Entity Type | Organization |
| Organization Name | PERRY COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | SPENCER COUNTY CLINIC |
| Practice Address |
559 Main St Ste 1 Rockport IN 47635-1451 |
| Mailing Address |
109 Us Highway 66 E Tell City IN 47586-2755 |
| Practice Telephone | 8126492271 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | BRIAN HERWIG (CEO) |
| Authorized Official Telephone | 8125470170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Spencer County Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407158678 | Perry County Memorial Hospital | Ambulance | 434 N West Street, Perryville, MO 63775 | 2010-11-22 |
| 1356309777 | Perry County Memorial Hospital | Ambulance | 8885 Sr 237, Tell City, IN 47586 | 2006-05-03 |
| 1972584795 | Perry County Memorial Hospital | Anesthesiology | 315 Main St., Troy, IN 47588 | 2005-11-09 |
| 1215928536 | Perry County Memorial Hospital | Nurse Practitioner | 18485 State Rd 37, Leopold, IN 47551-8072 | 2005-11-04 |
| 1154326098 | Perry County Memorial Hospital | Home Health | 115 Us Highway 66 E, Tell City, IN 47586 | 2005-06-16 |
| 1699779017 | Perry County Memorial Hospital | General Acute Care Hospital | 8885 State Road 237, Tell City, IN 47586-8567 | 2005-06-13 |
| 1629621396 | Perry County Memorial Hospital | Nurse Practitioner | 8885 State Road 237, Tell City, IN 47586-8567 | 2019-07-22 |
| 1922393768 | Perry County Memorial Hospital | Surgery | 148 13th St, Suite B, Tell City, IN 47586-1937 | 2011-06-09 |
| 1447206248 | Perry County Memorial Hospital | Clinic/Center | 8885 State Road 237, Tell City, IN 47586-8567 | 2006-05-25 |
| 1841258035 | Perry County Memorial Hospital | Medicare Defined Swing Bed Unit | 8885 Sr 237, Tell City, IN 47586 | 2006-05-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PERRY COUNTY MEMORIAL HOSPITAL | 434 N West St, Perryville, MO 63775-1359 |
| System for Award Management (SAM) Entities | PERRY COUNTY MEMORIAL HOSPITAL FOUNDATION INC. | 8885 State Rd 237, Tell City, IN 47586-8567 |
| Street Address |
559 MAIN ST STE 1 |
| City | ROCKPORT |
| State | IN |
| Zip Code | 47635-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750754750 | Bryan J Koewler | Physical Therapist | 826 N Sr 161, Suite B, Rockport, IN 47635 | 2015-11-12 |
| 1669748125 | Riverview Surgery Center LLC | Clinic/Center | 1276 N Plaza Dr, Rockport, IN 47635 | 2012-03-29 |
| 1336695576 | Procare Healthspot, LLC | Clinic/Center | 3434 W State Road 66, Rockport, IN 47635 | 2016-08-28 |
| 1457680688 | Rockport Ohio Township Fire Department | Non-emergency Medical Transport (VAN) | 615 Sycamore St, Rockport, IN 47635-0133 | 2009-12-17 |
| 1285784058 | Houchens Express Pharmacy LLC | Pharmacy | 815 Sycamore St, Rockport, IN 47635-1123 | 2007-01-11 |
| 1891262994 | Lifespring, Inc | Clinic/Center | 818 Madison St, Rockport, IN 47635-1241 | 2018-10-26 |
| 1629091061 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 815 Washington St, Rockport, IN 47635-1252 | 2006-07-26 |
| 1942296009 | Lisa M Miller | Nurse Practitioner | 105 S 2nd St, Rockport, IN 47635-1318 | 2005-09-23 |
| 1679833313 | Carrie Margaret Arias | Family Medicine | 105 S 2nd St, Rockport, IN 47635-1318 | 2012-05-28 |
| 1992976914 | Chrstina M. Beeler | Social Worker | 107 N 2nd St, Rockport, IN 47635-1401 | 2008-03-18 |
| Find all providers in zip 47635 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518891 | Ernest C. Alsop, Md, Pa | Family Medicine | 400 Enterprise Blvd Bldg D4, Rockport, TX 78382-4341 | 2019-09-30 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1841320926 | Robert N. Merrill | Family Medicine | 821 Commercial St, Rockport, ME 04856-4243 | 2007-03-06 |
| 1184791618 | Susan M Martin | Family Medicine | 3434 W State Road 66, Rockport, IN 47635-9259 | 2006-11-29 |
| 1174632004 | Fred Dixon Warren | Family Medicine | 700 E Mimosa St, Rockport, TX 78382-4151 | 2006-08-30 |
| 1568571446 | Edwin Standifer Haun | Family Medicine | 400 Enterprise Blvd Ste 4, Rockport, TX 78382 | 2006-08-30 |
| 1437266434 | Julie H Hurley | Family Medicine | 7 Madelyn Lane, Suite 200, Rockport, ME 04856 | 2006-08-24 |
| 1265549869 | Mckim C Peterson | Family Medicine | 195 Union St, Midcoast Medicine, Pa, Rockport, ME 04856-6107 | 2006-08-23 |
| 1619084290 | Brian R Pierce | Family Medicine | 643 Rockland St, Suite C, Rockport, ME 04856-5320 | 2006-08-23 |
| 1235152760 | Judith Andersen | Family Medicine | 247 Commercial St, Suite C, Rockport, ME 04856-5964 | 2006-07-25 |
| Find all providers in ROCKPORT | ||||
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| 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.