Active NPI
Perry County Health System
- Durable Medical Equipment & Medical Supplies
- Perryville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PERRY COUNTY HEALTH SYSTEM
- Practice address
- 434 N West St
Perryville, MO 63775 - Phone
- (573) 768-3347
- Fax
- (573) 768-3262
- NPI assigned
- May 17, 2018
- Organization subpart
- Yes
- Parent organization
- PERRY COUNTY HEALTH SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Carron
- Title
- President/Ceo
- Phone
- (573) 547-2563
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 442-19 | MO | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
434 N West St
Perryville, MO 63775
Mailing address
434 N West St
Perryville, MO 63775
Phone (573) 768-3347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010157204 | Medicaid | MO |
Other names 1
- Equipment Plus Home Services
National Provider Directory
National Provider Directory- Part of
- Perry County Community
Locations
5944 Main St
Frohna, MO 63748
Phone (573) 824-5100
212 Hospital Ln
Ste 10
Perryville, MO 63775
Phone (573) 547-7888
2 Circle Dr
Perryville, MO 63775
Phone (573) 547-7133
12 N Kings Hwy
Perryville, MO 63775
Phone (573) 547-3116
1508 Edgemont Blvd
Perryville, MO 63775
Phone (573) 339-2000
206 Hospital Ln
Ste 202
Perryville, MO 63775
Phone (573) 547-4899
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Perryville, MO
- NPI 1992811137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580688000000",
"number": "1306336086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 N WEST ST",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "63775",
"telephone_number": "573-768-3347",
"fax_number": "573-768-3262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 N WEST ST",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "63775",
"telephone_number": "573-768-3347",
"fax_number": "573-768-3262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRY COUNTY HEALTH SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PERRY COUNTY HEALTH SYSTEM",
"enumeration_date": "2018-05-17",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A",
"authorized_official_last_name": "CARRON",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "573-547-2563"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "MO",
"license": "442-19",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010157204",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Equipment Plus Home Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Perryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.