Organization
PERRY COUNTY HEALTH SYSTEM
Active
Other names
PERRY COUNTY PHYSICIAN SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK CARRON (PRESIDENT/CEO)
(573) 547-2536
Entity
Organization
Contact information
Practice address
206 HOSPITAL LN, PERRYVILLE, MO 63775-1276
(573) 547-4899
(573) 547-5388
Mailing address
206 HOSPITAL LANE, PERRYVILLE, MO 63775-1382
(573) 547-4899
(573) 547-5388
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208600000X
Surgery Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505251108
—
MO
Enumeration date
05/20/2006
Last updated
12/30/2014
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