Tell City Clinic
LBN: Perry County Memorial Hospital
Tell City Clinic is an health care organization with primary practice located at 109 Us Highway 66 E , Tell City IN 47586-2755. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Perry County Memorial Hospital can be contacted via phone (812) 547-3447, or through Stimpson, Jared via phone (812) 547-0170.
Contact Information
Primary practice address
109 Us Highway 66 E
Tell City IN 47586-2755
Phone: (812) 547-3447
Fax: (812) 547-9543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 158516 | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1023009339 |
|---|---|
| LBN Legal business name | Perry County Memorial Hospital |
| DBA Doing business as | Tell City Clinic |
| Authorized official | Stimpson, Jared |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jan 23rd, 2024 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023009339 | NPPES |
| Indiana | Other | 15D1005855 | CLIA |
| Indiana | MEDICAID | 201344410A | CLIA |
| Indiana | Other | 000000242953 | CLIA |
| Indiana | MEDICAID | 65938490 | CLIA |
| Indiana | Other | CK7959 | CLIA |
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