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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 596896704 | 05 | |
MO | 506896703 | 05 |
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 |
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 |
200 HEALTH WAY DR |
City | POTOSI |
State | MO |
Zip Code | 63664-1434 |
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 |
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 Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205064532 | Washington County Memorial Hospital | Clinic/Center | 300 Health Way Dr, Potosi, MO 63664-1420 | 2009-06-25 |
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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.