WASHINGTON COUNTY MEMORIAL HOSPITAL (NPI# 1871102137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871102137 |
| Entity Type | Organization |
| Organization Name | WASHINGTON COUNTY MEMORIAL HOSPITAL |
| Practice Address |
14206 Hwy C Belgrade MO 63622 |
| Mailing Address |
300 Health Way Dr Potosi MO 63664-1420 |
| Practice Telephone | 5734382977 |
| Mailing Telephone | 5734385451 |
| Mailing Fax Number | 5734382399 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | DEBRA A PRATT (CFO) |
| Authorized Official Telephone | 5734385451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BELGRADE RURAL HEALTH CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366713034 | Washington County Memorial Hospital | Clinic/Center | 1311 Maple St, Farmington, MO 63640-7641 | 2012-01-26 |
| 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 |
14206 HWY C |
| City | BELGRADE |
| State | MO |
| Zip Code | 63622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049967 | Community Health Partners Inc | Clinic/Center | 410 Triple Crown St Rm A108, Belgrade, MT 59714-3402 | 2020-10-06 |
| 1851909451 | Angelique M Coleman | Social Worker | 508 Woodman Dr, Belgrade, MT 59714-7230 | 2020-07-20 |
| 1821631011 | Travis John Weiss | Emergency Medical Technician, Paramedic | 200 Wings Way, Belgrade, MT 59714-3556 | 2019-10-21 |
| 1760035968 | Jennifer Susan Crenshaw | Occupational Therapy Assistant | 48 Location Rd, Belgrade, ME 04917-4026 | 2019-07-17 |
| 1649751017 | Lizabeth Ann Brooks | Adult Companion | 404 W Central Ave Apt 2, Belgrade, MT 59714-3446 | 2018-08-23 |
| 1689168239 | Quincy Marie Mears | Registered Nurse | 507 Secretariat Cir, Belgrade, MT 59714-3422 | 2018-06-18 |
| 1609378595 | Stamina Nutrition, Pllc | Dietitian, Registered | 5320 Foster Ln Apt B, Belgrade, MT 59714-8649 | 2018-03-06 |
| 1083129258 | Joelle Louli | Doula | 98 Stiles Ave Apt 2, Belgrade, MT 59714-4382 | 2017-12-08 |
| 1235650458 | Jacqueline Roller | Dietitian, Registered | 80 N Broadway, Belgrade, MT 59714-3701 | 2017-06-28 |
| 1467982603 | Ryan Schwartzmeyer | Counselor | 129 Village Square Dr. Ste 103b, Belgrade, MT 59714 | 2017-06-19 |
| Find all providers in BELGRADE | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1831515907 | Marble Hill Medical Clinic, LLC | Clinic/Center | 307 Broadway St., Marble Hill, MO 63764-8321 | 2014-03-12 |
| Find all providers with the same taxonomy | ||||
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| 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.