Active NPI
Washington County Memorial Hospital
- Rural Health Clinic/Center
- Farmington, MO
National Provider Identifier
1366713034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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 HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.