NPIMap

Organization Active NPI

Perry County Memorial Hospital

Doing business as Tell City Clinic Behavioral Health

  • Rural Health Clinic/Center
  • Tell City, IN
National Provider Identifier
1124713763
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PERRY COUNTY MEMORIAL HOSPITAL
Doing business as
Tell City Clinic Behavioral Health
Practice address
109 US Highway 66 E
Tell City, IN 47586-2799
Phone
(812) 547-3447
NPI assigned
Apr 10, 2023
Last updated
Apr 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Crystal Lee Hinton
Title
Provider Enrollment
Phone
(812) 772-0589

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

109 US Highway 66 E
Tell City, IN 47586-2799

Mailing address

PO Box 27066
Belfast, ME 04915-2022
Phone (812) 547-3447

Other names 1

  • Tell City Clinic Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Perry County OBGYN Assoc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1124713763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27066",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152022",
            "telephone_number": "812-547-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 US HIGHWAY 66 E",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475862799",
            "telephone_number": "812-547-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "812-772-0589"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tell City Clinic Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tell City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.