Perry County Memorial Hospital
Organization Active NPI Family Nurse Practitioner · Troy, IN
NPI 1972584795 · NPPES record last updated Feb 21, 2020
Key facts
- NPI
- 1972584795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- PERRY COUNTY MEMORIAL HOSPITAL
- Practice address
- 315 Main St.
Troy, IN 47588 - Phone
- (812) 547-9552
- Fax
- (812) 547-9553
- NPI assigned
- Nov 9, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- PERRY COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Brian Herwig
- Title
- Ceo
- Phone
- (812) 547-0170
Member of 1
National Provider Directory
- Part of
- Perry County Memorial Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | |||
| Internal Medicine Physician |
207R00000X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
315 Main St.
Troy, IN 47588
Mailing address
109 US Highway 66 E
Tell City, IN 47586-2755
Phone (812) 547-9549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200531550A | Medicaid | IN | |
| 000000374718 | Other | IN | ANTHEM |
| 65944423 | Medicaid | KY | |
| 78904778 | Medicaid | KY | |
| 15D1043329 | Other | IN | CLIA |
Other names
- Troy Clinic
Other providers in Troy, IN
All providers in Troy, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.