Organization Active NPI

Perry County Health System

  • Durable Medical Equipment & Medical Supplies
  • Perryville, MO
National Provider Identifier
1306336086
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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 SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010157204MedicaidMO

Other names 1

  • Equipment Plus Home Services Other name

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.

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.

Verify at the official NPI Registry.