Organization Active NPI

Washington County Memorial Hospital

  • Rural Health Clinic/Center
  • Farmington, MO
National Provider Identifier
1366713034
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WASHINGTON COUNTY MEMORIAL HOSPITAL
Practice address
1311 Maple St
Farmington, MO 63640-7641
Phone
(573) 756-0888
Fax
(573) 756-0450
NPI assigned
Jan 26, 2012
Organization subpart
Yes
Parent organization
WASHINGTON COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X MO Primary

Addresses

Primary practice location

1311 Maple St
Farmington, MO 63640-7641

Mailing address

300 Health Way Drive
Potosi, MO 63664-1499
Phone (573) 756-0888

National Provider Directory

National Provider Directory
Part of
Washington County Memor

Member of 1

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

Locations

1311 Maple St
Farmington, MO 63640
Phone (573) 756-0888

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1366713034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEALTH WAY DRIVE",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641499",
            "telephone_number": "573-756-0888",
            "fax_number": "573-756-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 MAPLE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407641",
            "telephone_number": "573-756-0888",
            "fax_number": "573-756-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASHINGTON COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2012-01-26",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • 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.