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General NPI Number Information
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NPI Number | 1306336086
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Entity Type | Organization
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Legal Business Name | PERRY COUNTY HEALTH SYSTEM
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 434 N WEST ST
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City | PERRYVILLE
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State | MO
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Zip | 63775
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Country | US
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Telephone | 573-768-3347
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Fax | 573-768-3262
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Provider Business Mailing Address
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Address Line | 434 N WEST ST
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City | PERRYVILLE
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State | MO
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Zip | 63775
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Country | US
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Telephone | 573-768-3347
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Fax | 573-768-3262
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | PATRICK CARRON
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Credential |
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Telephone | 573-547-2563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 442-19
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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