Organization
WASHINGTON COUNTY MEMORIAL HOSPITAL
Active
Other names
AUSTIN PLAZA PRIMARY CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A PRATT (CFO)
(573) 438-5451
Entity
Organization
Contact information
Practice address
108 FRIZZELL ST STE 5, POTOSI, MO 63664-1593
(573) 438-8500
(573) 438-8787
Mailing address
108 FRIZZEL #5, POTOSI, MN 63664-1434
(573) 438-8500
(573) 438-8787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/25/2006
Last updated
08/27/2020
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