Organization
PERRY COUNTY HEALTH SYSTEM
Active
Other names
PERRY COUNTY MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ELLIS (CFO)
(573) 547-2536
Entity
Organization
Contact information
Practice address
201 N. KINGSHIGHWAY, PERRYVILLE, MO 63775
(573) 768-3210
Mailing address
434 N WEST ST, PERRYVILLE, MO 63775-1359
(573) 547-2530
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
442-8
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157007
MISSOURI DHSS LICENCE
MO
05
—
800157208
—
MO
Enumeration date
03/07/2007
Last updated
06/15/2022
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