WASHINGTON COUNTY MEMORIAL HOSPITAL NPI 1467424788

NPI Information

NPI: 1467424788
Provider Name: WASHINGTON COUNTY MEMORIAL HOSPITAL

Doing Business As: AUSTIN PLAZA PRIMARY CARE CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
108 FRIZZELL STREET
POTOSI, MO
ZIP 63664
Phone: (573) 438-8500
Get Directions

WASHINGTON COUNTY MEMORIAL HOSPITAL is a rural health clinic center in Potosi, MO. WASHINGTON COUNTY MEMORIAL HOSPITAL NPI is 1467424788. The provider is registered as an organization entity type.
The provider Is Doing Business As Austin Plaza Primary Care Clinic.

The provider's business location address is:

108 FRIZZELL STREET
POTOSI, MO
ZIP 63664
Phone: (573) 438-8500
Fax: (573) 438-8787

The provider's authorized official is Debra A Pratt .
The authorized official title is Cfo and has the following contact phone number (573) 438-5451.

The CLIA number assigned to this NPI record is 26D0918478 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 8/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	598658003	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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