Organization
PERRY COUNTY HEALTH SYSTEM
Active
Other names
Perryville Family Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY REITZEL (OFFICE MANAGER)
(573) 547-7888
Entity
Organization
Contact information
Practice address
212 HOSPITAL LN, SUITE 101, PERRYVILLE, MO 63775-1276
(573) 547-7888
(573) 547-5481
Mailing address
212 HOSPITAL LN, SUITE 101, PERRYVILLE, MO 63775-1276
(573) 547-7888
(573) 547-5481
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503318800
—
MO
05
—
597917103
—
MO
Enumeration date
09/14/2006
Last updated
10/19/2011
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