WASHINGTON COUNTY MEMORIAL HOSPITAL (NPI# 1366713034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366713034 |
| Entity Type | Organization |
| Organization Name | WASHINGTON COUNTY MEMORIAL HOSPITAL |
| Practice Address |
1311 Maple St Farmington MO 63640-7641 |
| Mailing Address |
300 Health Way Drive Potosi MO 63664-1499 |
| Practice Telephone | 5737560888 |
| Practice Fax Number | 5737560450 |
| Mailing Telephone | 5737560888 |
| Mailing Fax Number | 5737560450 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | DEBRA A PRATT (CFO) |
| Authorized Official Telephone | 5734385451 |
| Is Organization Subpart | Y |
| Parent Organization Name | WASHINGTON COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MO | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1568692788 | Washington County Memorial Hospital | Clinic/Center | 1 Kwan Plaza Highway 8 E, Potosi, MO 63664-1435 | 2009-07-22 |
| 1598826752 | Washington County Memorial Hospital | Radiologic Technologist | 125 Spring Meadow Cir, Salem, IN 47167-9429 | 2006-12-12 |
| 1972607414 | Washington County Memorial Hospital | Registered Nurse | 14 Kwan Plz, Potosi, MO 63664-1435 | 2006-09-12 |
| 1104933837 | Washington County Memorial Hospital | Family Medicine | 108 Frizzell St Ste 5, Potosi, MO 63664-1593 | 2006-08-25 |
| 1124062419 | Washington County Memorial Hospital | Anesthesiology | 911 N. Shelby St., Salem, IN 47167-2304 | 2006-06-16 |
| 1467424788 | Washington County Memorial Hospital | Clinic/Center | 108 Frizzell Street, Potosi, MO 63664 | 2006-02-02 |
| 1891149415 | Washington County Memorial Hospital | Clinic/Center | 200 Health Way Dr, Potosi, MO 63664-1434 | 2016-04-20 |
| 1720349970 | Washington County Memorial Hospital | Clinic/Center | 527 Benham St, Bonne Terre, MO 63628-1205 | 2012-06-05 |
| 1205064532 | Washington County Memorial Hospital | Clinic/Center | 300 Health Way Dr, Potosi, MO 63664-1420 | 2009-06-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WASHINGTON COUNTY MEMORIAL HOSPITAL | 300 Health Way, Potosi, MO 63664-1420 |
| Street Address |
1311 MAPLE ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-7641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1427114990 | Physician Groups Lc | Clinic/Center | 1103 W Liberty, Farmington, MO 63640-1921 | 2006-12-29 |
| 1992875678 | Van Buren County Hospital | Clinic/Center | 206 S 4th St, Farmington, IA 52626-9235 | 2006-11-09 |
| 1245873082 | Mainehealth | Clinic/Center | 181 Franklin Health Commons, Farmington, ME 04938 | 2019-10-24 |
| 1619510047 | Mainehealth | Clinic/Center | 131 Franklin Health Cmns, Farmington, ME 04938-6142 | 2019-10-17 |
| 1497141915 | Parkland Health Center - Weber Road | Clinic/Center | 1212 Weber Rd, Farmington, MO 63640-3325 | 2015-04-10 |
| 1245545391 | Apollo Healthcare, LLC | Clinic/Center | 1031 E Karsch Blvd, Farmington, MO 63640-3404 | 2010-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on WASHINGTON COUNTY MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.