Organization
WASHINGTON COUNTY MEMORIAL HOSPITAL
Active
Other names
HEALTHWAY 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
200 HEALTH WAY DR, POTOSI, MO 63664-1434
(573) 438-2977
(573) 438-2874
Mailing address
200 HEALTH WAY DR, POTOSI, MO 63664-1434
(573) 438-2977
(573) 438-2874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506896703
—
MO
Enumeration date
08/04/2006
Last updated
08/27/2020
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