Organization
WASHINGTON COUNTY MEMORIAL HOSPITAL
Active
Parent organization
WASHINGTON COUNTY MEMORIAL HOSPITAL
Other names
POTOSI RURAL HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON COUNTY MEMORIAL HOSPITAL
Authorized official
DEBRA A PRATT (CFO)
(573) 438-5451
Entity
Organization
Contact information
Practice address
1 KWAN PLAZA HIGHWAY 8 E, POTOSI, MO 63664-1435
(573) 438-1899
(573) 438-1898
Mailing address
300 HEALTH WAY DR, POTOSI, MO 63664-1420
(573) 438-5451
(573) 438-2399
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594401804
—
MO
Enumeration date
07/22/2009
Last updated
08/27/2020
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