Organization
PERRY COUNTY MEMORIAL HOSPITAL
Active
Parent organization
PERRY COUNTY HEALTH SYSTEM DBA PERRY COUNTY MEMORIAL HOSPITAL
Other names
PERRY COUNTY MEMORIAL HOSPITAL AMBULANCE SERVICE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERRY COUNTY HEALTH SYSTEM DBA PERRY COUNTY MEMORIAL HOSPITAL
Authorized official
MR. MICHAEL ELLIS (CFO)
(573) 547-2536
Entity
Organization
Contact information
Practice address
201 N. KINGSHIGHWAY, PERRYVILLE, MO 63775
(573) 768-3203
Mailing address
434 N WEST STREET, PERRYVILLE, MO 63775
(573) 768-3203
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157007
MISSOURI DHSS LICENCE
MO
Enumeration date
11/22/2010
Last updated
06/20/2022
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