PERRY COUNTY MEMORIAL HOSPITAL NPI 1629621396

NPI Information

NPI: 1629621396
Provider Name: PERRY COUNTY MEMORIAL HOSPITAL

Doing Business As: PCMH PROVIDER CLINICS

Classification: General Practice - 208D00000X
Entity Type: Organization

Address:
8885 STATE ROAD 237
TELL CITY, IN
ZIP 47586
Phone: (812) 547-0135
Get Directions

PERRY COUNTY MEMORIAL HOSPITAL is a general practice in Tell City, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PERRY COUNTY MEMORIAL HOSPITAL NPI is 1629621396. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pcmh Provider Clinics.

The provider's business location address is:

8885 STATE ROAD 237
TELL CITY, IN
ZIP 47586-567
Phone: (812) 547-0135

The provider's authorized official is Jared Stimpson .
The authorized official title is Ceo and has the following contact phone number (812) 547-0170.

The CLIA number assigned to this NPI record is 15D0882467 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2019 and was last updated on 1/23/2024.

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	Primary
1	363L00000X	Nurse Practitioner		No
2	363LF0000X	Nurse Practitioner	Family	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
4	363LP2300X	Nurse Practitioner	Primary Care	No
5	207Q00000X	Family Medicine		No
6	208600000X	Surgery		No
7	213E00000X	Podiatrist		No
8	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
9	261QM1300X	Clinic/Center	Multi-Specialty	No
10	261QR1300X	Clinic/Center	Rural Health	No
11	207R00000X	Internal Medicine		No
12	207RP1001X	Internal Medicine	Pulmonary Disease	No
13	208000000X	Pediatrics		No
14	207V00000X	Obstetrics & Gynecology		No
15	208D00000X	General Practice		Yes

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
1	300032719	MEDICAID	INDIANA
2	300033542	MEDICAID	INDIANA
3	300034119	MEDICAID	INDIANA
4	7100653040	MEDICAID	KENTUCKY
5	300035249	MEDICAID	INDIANA
6	7100315860	MEDICAID	KENTUCKY
7	78904927	MEDICAID	KENTUCKY
8	65938490	MEDICAID	KENTUCKY

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: 5/5/2024

NPI Synchronization or Removal

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