# WASHINGTON COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WASHINGTON COUNTY MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366713034
- **Legal business name:** WASHINGTON COUNTY MEMORIAL HOSPITAL
- **Authorized official:** DEBRA A PRATT (CFO)
- **Authorized official phone:** (573) 438-5451

## Contact information

- **Practice address:** 1311 MAPLE ST, FARMINGTON, MO 63640-7641
- **Practice address phone:** (573) 756-0888
- **Practice address fax:** (573) 756-0450
- **Mailing address:** 300 HEALTH WAY DRIVE, POTOSI, MO 63664-1499
- **Mailing address phone:** (573) 756-0888
- **Mailing address fax:** (573) 756-0450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |

## Other

- **Enumeration date:** 01/26/2012
- **Last updated:** 08/27/2020
