NPI Code Details Logo

NPI 1740151489

NPI 1740151489 : PERRY COUNTY MEMORIAL HOSPITAL : TELL CITY, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1740151489
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PERRY COUNTY MEMORIAL HOSPITAL 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/16/2025
-----------------------------------------------------
    Last Update Date     |    11/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    715 MAIN ST 
-----------------------------------------------------
    City                 |    TELL CITY
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47586-1705
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-548-4480
-----------------------------------------------------
    Fax                  |    812-772-0560
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    715 MAIN ST 
-----------------------------------------------------
    City                 |    TELL CITY
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47586-1705
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-548-4480
-----------------------------------------------------
    Fax                  |    812-772-0560
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     JARED  STIMPSON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    812-547-7011
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.