PERRY COUNTY MEMORIAL HOSPITAL (NPI# 1629621396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629621396 |
| Entity Type | Organization |
| Organization Name | PERRY COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | PCMH PROVIDER CLINICS |
| Practice Address |
8885 State Road 237 Tell City IN 47586-8567 |
| Practice Telephone | 8125470135 |
| Mailing Telephone | 8125477011 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-08-05 |
| 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 | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201222330 | 05 | |
| IN | 201411860 | 05 | |
| IN | 100270000C | 05 | |
| IN | 200332310A | 05 | |
| IN | 201267650 | 05 | |
| IN | 300023141 | 05 | |
| IN | 200263700 | 05 | |
| IN | 201262470 | 05 | |
| IN | 201366090 | 05 | |
| IN | 100323070A | 05 | |
| IN | 100353910 | 05 | |
| IN | 201001030 | 05 | |
| IN | 200530330 | 05 | |
| IN | 1609918374 | 05 | |
| IN | 200368690 | 05 | |
| IN | 200502720A | 05 | |
| IN | 201019640 | 05 | |
| IN | 100029720 | 05 | |
| IN | 100225000 | 05 | |
| IN | 200184730 | 05 |
| Other Name | Type Code |
|---|---|
| PCMH Provider Clinics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 109 Us Highway 66 E, Tell City, IN 475862799 | 8125473447 | |
| 315 Main St, Troy, IN 475889241 | 8125479552 | |
| 148 13th St, Tell City, IN 475861937 | 8125470333 | |
| 18485 State Road 37, Leopold, IN 475518072 | 8128433038 | |
| 559 Main St, Rockport, IN 476351451 | 8126492271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487217121 | Perry County Memorial Hospital | Internal Medicine | 559 Main St Ste 1, Rockport, IN 47635-1451 | 2019-04-18 |
| 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 |
| 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 |
8885 STATE ROAD 237 |
| City | TELL CITY |
| State | IN |
| Zip Code | 47586-8567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779017 | Perry County Memorial Hospital | General Acute Care Hospital | 8885 State Road 237, Tell City, IN 47586-8567 | 2005-06-13 |
| 1437799418 | Kendall Shanks | Dietitian, Registered | 8885 State Road 237, Tell City, IN 47586-8567 | 2020-01-08 |
| 1689109399 | Ess of Tell City, LLC | Emergency Medicine | 8885 State Road 237, Tell City, IN 47586-8567 | 2017-05-01 |
| 1629528252 | Megan Harth | Nurse Practitioner | 8885 State Road 237, Tell City, IN 47586-8567 | 2016-10-06 |
| 1679028799 | South Central Ohio Anesthesia, LLC | Anesthesiology | 8885 State Road 237, Tell City, IN 47586-8567 | 2016-08-18 |
| 1134579329 | Jennifer Michelle Martin | Dietitian, Registered | 8885 State Road 237, Tell City, IN 47586-8567 | 2016-06-17 |
| 1699145300 | Tredene Gant | Dietitian, Registered | 8885 State Road 237, Tell City, IN 47586-8567 | 2015-10-07 |
| 1457668139 | Hassan A Elhewan | Family Medicine | 8885 State Road 237, Tell City, IN 47586-8567 | 2010-09-02 |
| 1447206248 | Perry County Memorial Hospital | Clinic/Center | 8885 State Road 237, Tell City, IN 47586-8567 | 2006-05-25 |
| 1679552681 | Terry R Perkins | Emergency Medicine | 8885 State Road 237, Tell City, IN 47586-8567 | 2006-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270062 | Amy Stenftenagel | Pharmacist | 730 Sr-66, Tell City, IN 47586 | 2020-06-19 |
| 1588136139 | Mark J. Flannagan Dds PC | Dentist | 741 12th St., Tell City, IN 47586 | 2018-12-20 |
| 1851837322 | Crystal Marie Miller | Occupational Therapist | 11492 Sunflower Road, Tell City, IN 47586 | 2017-01-09 |
| 1174877377 | Wesley Andrew Henderson | Nurse Anesthetist, Certified Registered | 8885 Indiana-237, Tell City, IN 47586 | 2012-11-09 |
| 1992943294 | Dixon & Dixon Auction Service LLC | Durable Medical Equipment & Medical Supplies | 2520 State Road 37, Tell City, IN 47586 | 2009-01-26 |
| 1033232889 | Donald Paul Gibson | Dentist | 901 Jefferson St, Tell City, IN 47586 | 2007-04-09 |
| 1205952710 | Dianne G Rudolph | Dentist | 740 9th, Tell City, IN 47586 | 2007-03-22 |
| 1487715652 | Gary Michael Fisher Sr. | Chiropractor | 807 12th St, Tell City, IN 47586 | 2006-12-12 |
| 1992739544 | Allen Ward Butler | Dentist | 1048-12th Street, Tell City, IN 47586 | 2006-07-10 |
| 1356309777 | Perry County Memorial Hospital | Ambulance | 8885 Sr 237, Tell City, IN 47586 | 2006-05-03 |
| Find all providers in zip 47586 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447206248 | Perry County Memorial Hospital | Clinic/Center | 8885 State Road 237, Tell City, IN 47586-8567 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231037 | Crossover Health Medical Group | Clinic/Center | 434 Patrol Rd, Jeffersonville, IN 47130-7754 | 2020-09-24 |
| 1659984870 | Central Indiana Vascular Care, LLC. | Clinic/Center | 853 N Emerson Ave Ste F, Greenwood, IN 46143-5676 | 2020-08-27 |
| 1518528579 | Johnson Nichols Health Clinic, Inc. | Clinic/Center | 390 Erie Ave Ste A, Connersville, IN 47331-3177 | 2019-06-21 |
| 1932677291 | Pure Life Clinic LLC | Clinic/Center | 4725 Statesmen Dr Ste B, Indianapolis, IN 46250-5645 | 2018-11-05 |
| 1417479247 | Crown Radiology Associates | Clinic/Center | 5363 Commerce Blvd Ste A, Crown Point, IN 46307-5325 | 2017-07-13 |
| 1346634946 | Healthworks Med Group of Indiana P C | Clinic/Center | 6620 Network Way, Indianapolis, IN 46278-1686 | 2015-03-23 |
| 1477970440 | American Health Network of Indiana, LLC | Clinic/Center | 2625 N Morton St, Kyb Health and Wellness Clinic, Franklin, IN 46131-8820 | 2014-03-27 |
| 1952626715 | K & D Medical Services | Clinic/Center | 425 Joliet St Ste 125, Dyer, IN 46311-1775 | 2010-04-05 |
| 1407179559 | Forensic Nursing Specialties, Inc | Clinic/Center | 2270 Lake Ave, Suite 201, Fort Wayne, IN 46805-5359 | 2010-03-03 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| Find all providers with the same taxonomy | ||||
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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.