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Organization
PERRY COUNTY HEALTH SYSTEM
Active
Organization
PERRY COUNTY HEALTH SYSTEM
Active
Other names
PERRY COUNTY PHYSICIAN SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK CARRON (PRESIDENT/CEO)
(573) 547-2536
Entity
Organization
Contact information
Practice address
206 HOSPITAL LN, PERRYVILLE, MO 63775-1276
(573) 547-4899
(573) 547-5388
Mailing address
206 HOSPITAL LANE, PERRYVILLE, MO 63775-1382
(573) 547-4899
(573) 547-5388
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261Q00000X
Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/20/2006
Last updated
12/30/2014
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