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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 STREET, POTOSI, MO 63664
(573) 438-8500
(573) 438-8787
Mailing address
108 FRIZZELL STREET, POTOSI, MO 63664
(573) 438-8500
(573) 438-8787

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
598658003
MO
Enumeration date
02/02/2006
Last updated
08/27/2020
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