# PERRY COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tell City Clinic Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124713763
- **Authorized official:** CRYSTAL LEE HINTON (PROVIDER ENROLLMENT)
- **Authorized official phone:** (812) 772-0589

## Contact information

- **Practice address:** 109 US HIGHWAY 66 E, TELL CITY, IN 47586-2799
- **Practice address phone:** (812) 547-3447
- **Mailing address:** PO BOX 27066, BELFAST, ME 04915-2022
- **Mailing address phone:** (812) 547-3447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/10/2023
- **Last updated:** 04/10/2023