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Contact Information

PERRY COUNTY MEMORIAL HOSPITAL
18485 STATE ROAD 37
LEOPOLD, IN47551-8072
 Phone: 812-843-3038
 Fax: 812-772-0594
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PERRY COUNTY MEMORIAL HOSPITAL

NPI Number 1215928536
LBN Legal business name PERRY COUNTY MEMORIAL HOSPITAL
Authorized official CRYSTAL HINTON - (PROVIDER ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2005
Last updated 05/05/2026 - About a month ago
Identifiers
IN Medicaid 200531240A
IN Medicaid 300032719
IN Medicaid 300101201
KY Medicaid 65944290
KY Medicaid 78904927
IN Other 000000371434 ANTHEM
IN Other 15D1043196 CLIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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