# PERRY COUNTY HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PERRY COUNTY MEMORIAL HOSPITAL HOME HEALTH CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942294046
- **Authorized official:** MR. RANDY WOLF (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (573) 547-2530

## Contact information

- **Practice address:** 2 CIRCLE DR, PERRYVILLE, MO 63775-1248
- **Practice address phone:** (573) 547-7133
- **Practice address fax:** (573) 517-0347
- **Mailing address:** 434 N WEST ST, PERRYVILLE, MO 63775-1359
- **Mailing address phone:** (573) 547-7133
- **Mailing address fax:** (573) 517-0347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 651-7 | MO | Yes |

## Other

- **Enumeration date:** 09/02/2005
- **Last updated:** 04/13/2012