Organization
PERRY COUNTY MEMORIAL HOSPITAL
Active
Other names
13th Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LEE HINTON (PROVIDER ENROLLMENT)
(812) 772-0589
Entity
Organization
Contact information
Practice address
148 13TH ST, TELL CITY, IN 47586-1937
(812) 547-3447
Mailing address
8885 STATE ROAD 237, TELL CITY, IN 47586-8567
(812) 547-7011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034119
—
IN
05
—
7100315860
—
KY
05
—
7100653040
—
KY
Enumeration date
06/09/2011
Last updated
05/05/2026
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