# PERRY COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 13th Street Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922393768
- **Authorized official:** CRYSTAL LEE HINTON (PROVIDER ENROLLMENT)
- **Authorized official phone:** (812) 772-0589

## Contact information

- **Practice address:** 148 13TH ST, TELL CITY, IN 47586-1937
- **Practice address phone:** (812) 547-3447
- **Mailing address:** 8885 STATE ROAD 237, TELL CITY, IN 47586-8567
- **Mailing address phone:** (812) 547-7011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/09/2011
- **Last updated:** 05/05/2026