WASHINGTON COUNTY MEMORIAL HOSPITAL


Address: 200 Health Way Dr, Potosi, MO 63664-1434
Phone: 5734382977

WASHINGTON COUNTY MEMORIAL HOSPITAL (NPI# 1891149415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891149415
Entity Type Organization
Organization Name WASHINGTON COUNTY MEMORIAL HOSPITAL
Practice Address 200 Health Way Dr
Potosi
MO 63664-1434
Mailing Address 300 Health Way Dr
Potosi
MO 63664-1420
Practice Telephone 5734382977
Practice Fax Number 5734381252
Mailing Telephone 5734385451
Mailing Fax Number 5734382399
Enumeration Date 2016-04-20
Last Update Date 2018-02-20
Authorized Official Name DEBRA A PRATT (CFO)
Authorized Official Telephone 5734385451
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 596896704 05
MO 506896703 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871102137 Washington County Memorial Hospital Clinic/Center 14206 Hwy C, Belgrade, MO 63622 2020-07-23
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
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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities WASHINGTON COUNTY MEMORIAL HOSPITAL 300 Health Way, Potosi, MO 63664-1420

Office Location

Street Address 200 HEALTH WAY DR
City POTOSI
State MO
Zip Code 63664-1434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043281694 Jeffrey Paul Tindall Family Medicine 200 Health Way Dr, Potosi, MO 63664-1434 2006-01-31
1912359852 Sarah Michelle Trokey Nurse Practitioner 200 Health Way Dr, Potosi, MO 63664-1434 2016-07-03
1225260532 Deirdre L Nivens Nurse Practitioner 200 Health Way Dr, Potosi, MO 63664-1434 2009-08-20
1225199342 Stephen Mckown Matthews Dentist 200 Health Way Dr, Suite 1, Potosi, MO 63664-1434 2006-12-12
1144238171 Washington County Memorial Hospital Family Medicine 200 Health Way Dr, Potosi, MO 63664-1434 2006-08-04
1598737827 Washington County Memorial Hospital Nurse Practitioner 200 Health Way Dr, Potosi, MO 63664-1434 2006-02-02
1659343903 Angela S Declue Nurse Practitioner 200 Health Way Dr, Potosi, MO 63664-1434 2006-02-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083017461 Carolyn Coyne Maryan Specialist/Technologist 400 Mine St., Citadel School, Potosi, MO 63664 2014-09-30
1205073665 Potosi Chiropractic Life Center Chiropractor 502 North Missouri St., Potosi, MO 63664 2009-01-07
1932385952 Simpelo Medical Clinic, P.C. Internal Medicine 108 Frizzell, Suite 6, Potosi, MO 63664 2008-01-22
1760696918 Brett T Snodgrass General Practice 1 Southtowne Dr., Great Mines Health Center, Potosi, MO 63664 2007-05-09
1710032297 Washington County Handicapped Services Adult Day Health Care Day Training, Developmentally Disabled Services 10604 West Highway E, Potosi, MO 63664 2007-01-24
1578629473 Greenlee Chiropractic Inc. Chiropractor Greenlee Chiropractic, 417 East High St, Potosi, MO 63664 2006-12-28
1003981895 James Daley Robart Jr. Chiropractor 912 N Missouri St, Potosi, MO 63664 2006-11-21
1225063407 Seth Paskon Internal Medicine Potosi Medical Clinic, #1 Kwan Plaza, Potosi, MO 63664 2006-07-12
1346295607 Donna Yates Nurse Practitioner 600 Purcell Dr, Suite B, Potosi, MO 63664 2006-05-24
1467424788 Washington County Memorial Hospital Clinic/Center 108 Frizzell Street, Potosi, MO 63664 2006-02-02
Find all providers in zip 63664

Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205064532 Washington County Memorial Hospital Clinic/Center 300 Health Way Dr, Potosi, MO 63664-1420 2009-06-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023629458 Palm Valley Health LLC Clinic/Center 1095 Nooning Tree Dr, Chesterfield, MO 63017-2468 2020-08-10
1477175594 Confident American English, LLC Clinic/Center 1190 Jefferson St Ste 103a, Washington, MO 63090-4443 2020-05-12
1619513215 Southeast Missouri Health Network Clinic/Center 835 W Murray Ln, Sikeston, MO 63801-4056 2019-11-19
1275014953 Arch Pediatrics LLC Clinic/Center 3844 S Lindbergh Blvd Ste 216, Saint Louis, MO 63127-1369 2018-08-22
1174015515 Washington University Physicians In Illinois, Inc Clinic/Center 4511 Forest Park Ave, Saint Louis, MO 63108-2138 2018-06-01
1164921300 Texas County Memorial Hospital Clinic/Center 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 2018-02-02
1053822650 Edge Medical Services Inc. Clinic/Center 105 W 34th St Apt 2, Kansas City, MO 64111-1677 2017-10-23
1932618394 United Physicians Group, LLC Clinic/Center 14825 N Outer 40 Rd Ste 365, Chesterfield, MO 63017-2152 2017-09-28
1073022000 Fairview Heights Medical Group Sc Clinic/Center 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573 2017-09-21
1013433762 Elevating Care Clinic, LLC Clinic/Center 2340 E. Meyer Blvd, 208, Kansas City, MO 64132-1105 2017-08-15
Find all providers with the same taxonomy

Competitor

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City POTOSI
Zip Code 63664

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Dataset Information

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.

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