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General NPI Number Information
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NPI Number | 1215928536
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Entity Type | Organization
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Legal Business Name | PERRY COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 18485 STATE RD 37
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City | LEOPOLD
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State | IN
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Zip | 47551-8072
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Country | US
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Telephone | 812-843-3038
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Fax | 812-843-3084
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Provider Business Mailing Address
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Address Line | 8885 STATE ROAD 237
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City | TELL CITY
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State | IN
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Zip | 47586-8567
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Country | US
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Telephone | 812-547-7011
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Fax | 812-547-9543
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Authorized Official
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Title or Position | CEO
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Name | JARED STIMPSON
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Credential |
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Telephone | 812-547-0170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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