PERRY COUNTY MEMORIAL HOSPITAL (NPI# 1972584795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972584795 |
| Entity Type | Organization |
| Organization Name | PERRY COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | TROY CLINIC |
| Practice Address |
315 Main St. Troy IN 47588 |
| Mailing Address |
109 Us Highway 66 E Tell City IN 47586-2755 |
| Practice Telephone | 8125479552 |
| Practice Fax Number | 8125479553 |
| Mailing Telephone | 8125479549 |
| Mailing Fax Number | 8125479543 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | BRIAN HERWIG (CEO) |
| Authorized Official Telephone | 8125470170 |
| Is Organization Subpart | Y |
| Parent Organization Name | PERRY COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78904778 | 05 | |
| IN | CLIA | 15D1043329 | 01 |
| KY | 65944423 | 05 | |
| IN | 200531550A | 05 | |
| IN | ANTHEM | 000000374718 | 01 |
| Other Name | Type Code |
|---|---|
| Troy Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
315 MAIN ST. |
| City | TROY |
| State | IN |
| Zip Code | 47588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023137536 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 420 Franklin, Troy, IN 47588 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740026 | Calvin Arnett | Private Vehicle | 2702 Fairmont Ct Apt A, Troy, OH 45373-7902 | 2020-11-08 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1548861693 | Asset Health, Inc. | Contractor | 2250 Butterfield Dr Ste 100, Troy, MI 48084-3411 | 2020-11-05 |
| 1063013415 | Carl Mark Cacciotti | Nurse Practitioner | 81 Sweetmilk Creek Rd, Troy, NY 12180-9100 | 2020-11-03 |
| 1649871161 | Martor Case Management LLC | Durable Medical Equipment & Medical Supplies | 400 Jordan Rd, Troy, NY 12180-8378 | 2020-11-02 |
| 1619577442 | Fhpg, LLC | Nurse Practitioner | 770 Glen Rd, Troy, NC 27371 | 2020-10-30 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1629676275 | Chester Counseling LLC | Social Worker | 2833 Crooks Rd Ste 104, Troy, MI 48084-4732 | 2020-10-15 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1043818859 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6828 Rochester Rd, Troy, MI 48085-1291 | 2020-10-14 |
| Find all providers in TROY | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998777 | Nila Ellison | Nurse Practitioner | 2810 Alisop Pl Apt 306, Troy, MI 48084-3470 | 2020-10-04 |
| 1689286262 | Kayla Dawn Metz | Nurse Practitioner | 101 Hunters Mountain Pkwy, Troy, AL 36079-5895 | 2020-08-17 |
| 1801421953 | Veronica Talevska | Nurse Practitioner | 1054 Henrietta Ave, Troy, MI 48083-1908 | 2020-03-10 |
| 1245878636 | Kim S Hussey | Nurse Practitioner | 989 Elba Hwy, Troy, AL 36079-6050 | 2019-12-16 |
| 1548804685 | Kelly N Lofton | Nurse Practitioner | 144 Prison Ln, Troy, VA 22974 | 2019-11-01 |
| 1740831528 | Monica Hallac | Nurse Practitioner | 3630 Old Creek Rd, Troy, MI 48084-1658 | 2019-09-24 |
| 1053961482 | Vian Murad | Nurse Practitioner | 752 Amberwood Dr, Troy, MI 48085-1676 | 2019-09-17 |
| 1245886100 | Sheila Kay Mitchell | Nurse Practitioner | 101 Hunter Mountain Parkway, Troy, AL 36081-3608 | 2019-08-15 |
| 1427510262 | Allison Michelle Harper | Nurse Practitioner | 3006 N County Road 25a Ste 102, Troy, OH 45373-1373 | 2019-04-02 |
| 1669940409 | Astasia C Goodenough | Nurse Practitioner | 5680 Wright Dr, Troy, MI 48098-2917 | 2018-11-09 |
| Find all providers in TROY | ||||
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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.