| Organization Name: | PERRY COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1407158678 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK CARRON (CEO) |
| Mailing Address: | 434 N West Street Perryville |
| State: | MO US |
| Postal Code: | 63775 |
| Phone Number: | 5737683203 |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2010 |
| NPI Last Update Date: | 02/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |