# WASHINGTON COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WASHINGTON COUNTY MEMORIAL HOSPITAL
- **Other names:** HEALTH WAY PRIMARY CARE CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598737827
- **Legal business name:** WASHINGTON COUNTY MEMORIAL HOSPITAL
- **Authorized official:** DEBRA PRATT (CFO)
- **Authorized official phone:** (573) 438-5451

## Contact information

- **Practice address:** 200 HEALTH WAY DR, POTOSI, MO 63664-1434
- **Practice address phone:** (573) 438-2977
- **Practice address fax:** (573) 438-5460
- **Mailing address:** 200 HEALTH WAY DR, POTOSI, MO 63664-1434
- **Mailing address phone:** (573) 438-2977
- **Mailing address fax:** (573) 438-5460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2002028056 | MO | — |
| 207Q00000X | Family Medicine Physician | R6P28 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/02/2006
- **Last updated:** 08/27/2020