WASHINGTON COUNTY MEMORIAL HOSPITAL NPI 1891149415

NPI Information

NPI: 1891149415
Provider Name: WASHINGTON COUNTY MEMORIAL HOSPITAL
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 26D2153639

Address:
200 HEALTH WAY DR
POTOSI, MO
ZIP 63664
Phone: (573) 438-2977
Get Directions

WASHINGTON COUNTY MEMORIAL HOSPITAL is a multi-specialty clinic center in Potosi, MO. WASHINGTON COUNTY MEMORIAL HOSPITAL NPI is 1891149415. The provider is registered as an organization entity type.

The provider's business location address is:

200 HEALTH WAY DR
POTOSI, MO
ZIP 63664-434
Phone: (573) 438-2977
Fax: (573) 438-1252

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 26D2153639 - other - county jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2016 and was last updated on 2/20/2018.

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	261QM1300X	Clinic/Center	Multi-Specialty			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	596896704	MEDICAID	MISSOURI
2	506896703	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »