Provider Demographics
NPI:1629705389
Name:PERRY COUNTY COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:PERRY COUNTY COMMUNITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LILIAN
Authorized Official - Middle Name:THEREZINHA
Authorized Official - Last Name:ALEVATO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-232-1477
Mailing Address - Street 1:2718 SQUIRREL HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:TN
Mailing Address - Zip Code:37096-3526
Mailing Address - Country:US
Mailing Address - Phone:407-948-9306
Mailing Address - Fax:
Practice Address - Street 1:2718 SQUIRREL HOLLOW DR
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:TN
Practice Address - Zip Code:37096-3526
Practice Address - Country:US
Practice Address - Phone:407-948-9306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty