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Organization
PERRY COUNTY MEMORIAL HOSPITAL
Active
Organization
PERRY COUNTY MEMORIAL HOSPITAL
Active
Other names
Main Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LEE HINTON (PROVIDER ENROLLMENT)
(812) 772-0589
Entity
Organization
Contact information
Practice address
715 MAIN ST, TELL CITY, IN 47586-1705
(812) 548-4480
(812) 772-0560
Mailing address
715 MAIN ST, TELL CITY, IN 47586-1705
(812) 548-4480
(812) 772-0560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300124476
—
IN
05
—
7101121230
—
KY
Enumeration date
09/16/2025
Last updated
05/05/2026
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