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Organization

PERRY COUNTY MEMORIAL HOSPITAL

Active
Other names
Tell City Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL LEE HINTON (PROVIDER ENROLLMENT)
(812) 772-0589
Entity
Organization

Contact information

Practice address
109 US HIGHWAY 66 E, TELL CITY, IN 47586-2755
(812) 547-3447
(812) 547-9543
Mailing address
8885 STATE ROAD 237, TELL CITY, IN 47586-8567
(812) 547-7011
(812) 547-0174

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
261QR1300X
Rural Health Clinic/Center
Primary
158516
IN
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000242953
ANTHEM
IN
01
15D1005855
CLIA
IN
05
201344410A
IN
05
65938490
KY
01
CK7959
RAILROAD MEDICARE
IN
Enumeration date
11/04/2005
Last updated
05/05/2026
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