Organization Name: | PERRY COUNTY HEALTH SYSTEM |
NPI Number: | 1467557488 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACEY REITZEL (OFFICE MANAGER) |
Mailing Address: | 212 Hospital Ln Suite 101 Perryville |
State: | MO US |
Postal Code: | 637751276 |
Phone Number: | 5735477888 |
Fax Number: | 5735475481 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 10/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |