NPIMap

Organization Active NPI

Perry County Memorial Hospital

  • Critical Access Hospital
  • Tell City, IN
National Provider Identifier
1699779017
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
PERRY COUNTY MEMORIAL HOSPITAL
Practice address
8885 State Road 237
Tell City, IN 47586-8567
Phone
(812) 547-7011
Fax
(812) 547-0174
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 022251 IN
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

8885 State Road 237
Tell City, IN 47586-8567

Mailing address

8885 State Road 237
Tell City, IN 47586-8567
Phone (812) 547-7011

Other identifiers 5

IdentifierTypeStateIssuer
65938318MedicaidKY
100270000AMedicaidIN
01340124MedicaidKY
100388160MedicaidIN
100269990MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040831000112 IN Part A Provider - Critical Access Hospital 6901871276 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Tell City, IN

Hospital certification: CCN 151322

Legal name
PERRY COUNTY MEMORIAL HOSPITAL
Doing business as
PERRY COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2004
Last certification
Oct 16, 2012
Beds
25
Ownership / control type
Other
Organization structure
OtherNon-profit
Enrollment address
8885 State Road 237
Tell City, IN 47586-8567
Opt Extension Site

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Perry County Memorial HospitalCCN 151322
Overall star rating
2 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Perry County Memorial Hospital14 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

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John B. Land Individual Corporate DirectorBoard Member Oct 1, 2011
Randall Russell Individual Contracted Managing EmployeeCfo Jul 1, 2023 100%
Corporate OfficerCfo Jul 1, 2023 100%
Operational/Managerial ControlCfo Jul 1, 2023 100%
Rita Mahoney Individual Corporate DirectorBoard Member Oct 1, 2014
Perry County Memorial Hospital Organization, Tell City, IN Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Crystal Hinton Individual W-2 Managing EmployeeProvider Enrollment Jan 1, 2026
Nick Harley Individual Contracted Managing EmployeeCeo Mar 23, 2026
Corporate OfficerCeo Mar 23, 2026
Operational/Managerial ControlCeo Mar 23, 2026
Melissa Riley Individual W-2 Managing Employee Nov 8, 1989

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Perry County Memorial HospitalTell City, IN, CCN 15Z322 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Perry County Memorial HospitalTell City, IN, CCN 157177 Home health agency Operational/Managerial Control (100%) Jan 5, 2012
Tell City ClinicTell City, IN, CCN 158516 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2019
Oct 1, 2019
Leopold ClinicLeopold, IN, CCN 158517 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2019
Oct 1, 2019

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

Affiliated clinicians 162

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 162

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1699779017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 STATE ROAD 237",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475868567",
            "telephone_number": "812-547-7011",
            "fax_number": "812-547-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 STATE ROAD 237",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475868567",
            "telephone_number": "812-547-7011",
            "fax_number": "812-547-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IN",
            "license": "022251",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65938318",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270000A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01340124",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100388160",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100269990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tell City, IN

Sources for this page

Verify at the official NPI Registry.