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Organization
PERRY COUNTY MEMORIAL HOSPITAL
Active
Organization
PERRY COUNTY MEMORIAL HOSPITAL
Active
Other names
Tell City Clinic Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LEE HINTON (PROVIDER ENROLLMENT)
(812) 772-0589
Entity
Organization
Contact information
Practice address
109 US HIGHWAY 66 E, TELL CITY, IN 47586-2799
(812) 547-3447
Mailing address
PO BOX 27066, BELFAST, ME 04915-2022
(812) 547-3447
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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