PERRY COUNTY MEMORIAL HOSPITAL (NPI# 1699779017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699779017 |
| Entity Type | Organization |
| Organization Name | PERRY COUNTY MEMORIAL HOSPITAL |
| Practice Address |
8885 State Road 237 Tell City IN 47586-8567 |
| Mailing Address |
8885 Sr 237 Tell City IN 47586-2750 |
| Practice Telephone | 8125477011 |
| Practice Fax Number | 8125470174 |
| Mailing Telephone | 8125477011 |
| Mailing Fax Number | 8125470174 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | BRIAN HERWIG (CEO) |
| Authorized Official Telephone | 8125477011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
022251 | IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100388160 | 05 | |
| IN | 100270000A | 05 | |
| KY | 65938318 | 05 | |
| KY | 01340124 | 05 | |
| IN | 100269990 | 05 |
| 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 |
| 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 |
8885 STATE ROAD 237 |
| City | TELL CITY |
| State | IN |
| Zip Code | 47586-8567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799418 | Kendall Shanks | Dietitian, Registered | 8885 State Road 237, Tell City, IN 47586-8567 | 2020-01-08 |
| 1629621396 | Perry County Memorial Hospital | Nurse Practitioner | 8885 State Road 237, Tell City, IN 47586-8567 | 2019-07-22 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871973032 | Franciscan Health Rensselaer, Inc. | General Acute Care Hospital | 4109 W State Road 10, Wheatfield, IN 46392-7008 | 2015-06-03 |
| 1831331800 | Richard L. Roudebush Va Medical Center | General Acute Care Hospital | 1816 Larkfield Ct Apt 563, Indianapolis, IN 46260-2562 | 2009-04-06 |
| 1104062462 | Advocate Illinois Masonic Medical Center | General Acute Care Hospital | 3632 Wirth Rd, Highland, IN 46322-2218 | 2008-12-16 |
| 1366528820 | Dannielle Christine Gilyan | General Acute Care Hospital | 2445 Directors Row Ste C, Indianapolis, IN 46241-4936 | 2006-10-27 |
| 1568417004 | Community Hospital of Bremen, Inc | General Acute Care Hospital | 1020 High Road, Bremen, IN 46506 | 2006-05-23 |
| 1811962228 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2006-02-20 |
| 1154396604 | Scott County Memorial Hospital | General Acute Care Hospital | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2006-02-20 |
| 1871574822 | Indiana University Health Blackford Hospital Inc | General Acute Care Hospital | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 | 2005-11-08 |
| 1548260284 | Indiana University Health Bedford, Inc | General Acute Care Hospital | 2900 W. 16th St, Bedford, IN 47421-3510 | 2005-07-22 |
| 1952300477 | Decatur County Memorial Hospital | General Acute Care Hospital | 720 N. Lincoln St, Greensburg, IN 47240-1398 | 2005-07-18 |
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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.