Organization
PERRY COUNTY HEALTH SYSTEM
Active
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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