# PERRY COUNTY HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PERRY COUNTY PHYSICIAN SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619921160
- **Authorized official:** MR. PATRICK CARRON (PRESIDENT/CEO)
- **Authorized official phone:** (573) 547-2536

## Contact information

- **Practice address:** 206 HOSPITAL LN, PERRYVILLE, MO 63775-1276
- **Practice address phone:** (573) 547-4899
- **Practice address fax:** (573) 547-5388
- **Mailing address:** 206 HOSPITAL LANE, PERRYVILLE, MO 63775-1382
- **Mailing address phone:** (573) 547-4899
- **Mailing address fax:** (573) 547-5388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 12/30/2014
