Provider Demographics
NPI:1487045423
Name:PERRY COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:PERRY COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:618-357-5371
Mailing Address - Street 1:PO BOX 49
Mailing Address - Street 2:907 SOUTH MAIN STREET
Mailing Address - City:PINCKNEYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62274-0049
Mailing Address - Country:US
Mailing Address - Phone:618-357-5371
Mailing Address - Fax:
Practice Address - Street 1:907 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PINCKNEYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62274-1700
Practice Address - Country:US
Practice Address - Phone:618-357-5371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare