Provider Demographics
NPI:1639858855
Name:MERCY HOSPITAL PERRY
Entity Type:Organization
Organization Name:MERCY HOSPITAL PERRY
Other - Org Name:MERCY HOSPITAL PERRY - RHC I
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP-FINANCE MERCY CAH
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOUSE DAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-820-8439
Mailing Address - Street 1:212 HOSPITAL LN STE 101A
Mailing Address - Street 2:
Mailing Address - City:PERRYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63775-4204
Mailing Address - Country:US
Mailing Address - Phone:573-547-7888
Mailing Address - Fax:573-519-5330
Practice Address - Street 1:212 HOSPITAL LN
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MO
Practice Address - Zip Code:63775-1224
Practice Address - Country:US
Practice Address - Phone:573-547-7888
Practice Address - Fax:573-547-5481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty