# WASHINGTON COUNTY MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1972607414
- **Legal business name:** WASHINGTON COUNTY MEMORIAL HOSPITAL
- **Authorized official:** MRS. LEAH OSBAHR (ADMINISTRATOR)
- **Authorized official phone:** (573) 438-5451

## Contact information

- **Practice address:** 14 KWAN PLZ, POTOSI, MO 63664-1435
- **Practice address phone:** (573) 438-7901
- **Practice address fax:** (573) 438-6179
- **Mailing address:** 14 KWAN PLZ, POTOSI, MO 63664-1435
- **Mailing address phone:** (573) 438-7901
- **Mailing address fax:** (573) 438-6179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | 39-21 | MO | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 07/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 580780609 | — | MO |