PERRY COUNTY HEALTH SYSTEM NPI 1619921160

NPI Information

  • NPI: 1619921160
  • Provider Name: PERRY COUNTY HEALTH SYSTEM
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: PERRY COUNTY PHYSICIAN SERVICES
  • CLIA Number: 26D1071772
  • Address: 206 HOSPITAL LN
    PERRYVILLE, MO
    ZIP 63775
  • Phone: (573) 547-4899

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NPI Details

PERRY COUNTY HEALTH SYSTEM is a rural health clinic center in Perryville, MO. PERRY COUNTY HEALTH SYSTEM NPI is 1619921160. The provider is registered as an organization entity type.
The provider Is Doing Business As Perry County Physician Services.

The provider's business location address is:

206 HOSPITAL LN
PERRYVILLE, MO
ZIP 63775-276
Phone: (573) 547-4899
Fax: (573) 547-5388

The provider's authorized official is Patrick Carron .
The authorized official title is President/ceo and has the following contact phone number (573) 547-2536.

The CLIA number assigned to this NPI record is 26D1071772 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/20/2006 and was last updated on 12/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2207V00000XObstetrics & GynecologyNo
3207XX0005XOrthopaedic SurgerySports MedicineNo
4208600000XSurgeryNo
5261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000013371MEDICARE PINMISSOURI
2268614MEDICARE OSCAR/CERTIFICATIONMISSOURI
3505251108MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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