Organization
PERRY COUNTY MEMORIAL HOSPITAL
Active
Other names
Leopold Clinic, Perry County Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LEE HINTON (PROVIDER ENROLLMENT)
(812) 772-0589
Entity
Organization
Contact information
Practice address
18485 STATE ROAD 37, LEOPOLD, IN 47551-8072
(812) 843-3038
(812) 772-0594
Mailing address
8885 STATE ROAD 237, TELL CITY, IN 47586-8567
(812) 547-7011
(812) 772-0594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000371434
ANTHEM
IN
01
—
15D1043196
CLIA
IN
05
—
200531240A
—
IN
05
—
300032719
—
IN
05
—
300101201
—
IN
05
—
65944290
—
KY
05
—
78904927
—
KY
Enumeration date
11/04/2005
Last updated
05/05/2026
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