Washington County Memorial Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WASHINGTON COUNTY MEMORIAL HOSPITAL

Doing business as

AUSTIN PLAZA PRIMARY CARE CLINIC

Practice address

108 Frizzell St Ste 5
Potosi, MO 63664-1593

Phone

(573) 438-8500

Fax

(573) 438-8787

NPI assigned

Aug 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra A Pratt

Title

Cfo

Phone

(573) 438-5451

Specialties & licenses 3

Addresses

Other names 1

• AUSTIN PLAZA PRIMARY CARE CLINIC Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Washington County Memorial Hospital

  • Critical Access Hospital
  • Potosi, MO
  • NPI 1194838821

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1104933837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FRIZZEL #5",
            "city": "POTOSI",
            "state": "MN",
            "postal_code": "636641434",
            "telephone_number": "573-438-8500",
            "fax_number": "573-438-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FRIZZELL ST STE 5",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641593",
            "telephone_number": "573-438-8500",
            "fax_number": "573-438-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-438-5451"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUSTIN PLAZA PRIMARY CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AUSTIN PLAZA PRIMARY CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Washington County Board for the Handicapped
• Washington County Handicapped Services
• Washington County Handicapped Services Adult Day Health Care
• Washington County Handicapped Services in Home Personal Care Services
• Washington County Health Department
• Washington County Memorial Hospital
• Washington County Memorial Hospital
• Washington County Memorial Hospital
• Washington County Memorial Hospital
• Washington County Memorial Hospital

• Rural Health Clinic/Center in Potosi, MO
• Providers in Potosi, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.