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CAH151322-00 PERRY COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
PERRY COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH151322-00
Medicare Provider Number
151322
Additional Details
Current Program Status
Active
Registration Date
3/23/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/15/2011
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Perry County Memorial Hospital
Kayla Gehlhausen, Chief Nursing Officer
(812) 547-0235
Primary Contact
Perry County Memorial Hospital
Kelly Litherland, Director of Pharmacy
(812) 547-0330
Addresses
Street Address
8885 State Road 237
TELL CITY, IN 47586
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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