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NPI Code Detail

MEDICARE: PERRY COUNTY HEALTH SYSTEM

MEDICARE: PERRY COUNTY HEALTH SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital442-7MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982699328
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERRY COUNTY HEALTH SYSTEM
Provider Business Mailing Address
First Line : 434 N WEST ST
Second Line :
City : PERRYVILLE
State : MO
Zip : 63775-1359
Country : US
Telephone Number : 573-547-2530
Fax Number : 573-517-0347
Provider Business Practice Location Address
First Line : 434 N WEST ST
Second Line :
City : PERRYVILLE
State : MO
Zip : 63775-1359
Country : US
Telephone Number : 573-547-2530
Fax Number : 573-517-0347
Authorized Official
Title or Position : CFO
Name : MICHAEL ELLIS
Credential :
Telephone Number : 573-768-3207
Provider Enumeration Date : 09/13/2005
Last Update Date : 06/16/2022

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Practice Location Address:
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1891759221 — DR. BRUCE E HARRISON M.D.
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Practice Fax:
1639196272 — SCOTT LANDRY M.D.
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1306956503 — GARY R WILLIAMS CRNA
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1285738732 — PERRY COUNTY HEALTH SYSTEM
Practice Location Address:
434 N WEST ST
PERRYVILLE, MO
63775-1359
Practice Phone: 573-547-2536
Practice Fax: 573-517-0347

Directions to “PERRY COUNTY HEALTH SYSTEM ” Practice Location

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