Healthcare Provider Details

I. General information

NPI: 1801637343
Provider Name (Legal Business Name): PERRY COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 JOSHUA LN
HAWESVILLE KY
42348-3500
US

IV. Provider business mailing address

8885 STATE ROAD 237
TELL CITY IN
47586-8567
US

V. Phone/Fax

Practice location:
  • Phone: 270-922-1000
  • Fax:
Mailing address:
  • Phone: 812-772-0589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL LEE HINTON
Title or Position: PROVIDER ENROLLMENT
Credential:
Phone: 812-772-0589