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Organization
WASHINGTON COUNTY MEMORIAL HOSPITAL
Active
Organization
WASHINGTON COUNTY MEMORIAL HOSPITAL
Active
Parent organization
WASHINGTON COUNTY MEMORIAL HOSPITAL
Other names
HEALTH WAY PRIMARY CARE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON COUNTY MEMORIAL HOSPITAL
Authorized official
DEBRA PRATT (CFO)
(573) 438-5451
Entity
Organization
Contact information
Practice address
200 HEALTH WAY DR, POTOSI, MO 63664-1434
(573) 438-2977
(573) 438-5460
Mailing address
200 HEALTH WAY DR, POTOSI, MO 63664-1434
(573) 438-2977
(573) 438-5460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2002028056
MO
207Q00000X
Family Medicine Physician
R6P28
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/02/2006
Last updated
08/27/2020
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