Active NPI
Washington County Memorial Hospital
- Home Health Registered Nurse
- Potosi, MO
National Provider Identifier
1972607414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 39-21
- Legal business name
- WASHINGTON COUNTY MEMORIAL HOSPITAL
- Practice address
- 14 Kwan PLZ
Potosi, MO 63664-1435 - Phone
- (573) 438-7901
- Fax
- (573) 438-6179
- NPI assigned
- Sep 12, 2006
- 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
- Mrs. Leah Osbahr
- Title
- Administrator
- Phone
- (573) 438-5451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 39-21 | MO | Primary |
Addresses
Primary practice location
14 Kwan PLZ
Potosi, MO 63664-1435
Mailing address
14 Kwan PLZ
Potosi, MO 63664-1435
Phone (573) 438-7901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 580780609 | Medicaid | MO |
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
14 Kwan Plz
Potosi, MO 63664
Phone (573) 438-7901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279065600000",
"number": "1972607414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 KWAN PLZ",
"city": "POTOSI",
"state": "MO",
"postal_code": "636641435",
"telephone_number": "573-438-7901",
"fax_number": "573-438-6179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 KWAN PLZ",
"city": "POTOSI",
"state": "MO",
"postal_code": "636641435",
"telephone_number": "573-438-7901",
"fax_number": "573-438-6179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WASHINGTON COUNTY MEMORIAL HOSPITAL",
"enumeration_date": "2006-09-12",
"last_updated": "2010-07-14",
"status": "A",
"authorized_official_last_name": "OSBAHR",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "573-438-5451",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "MO",
"license": "39-21",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "580780609",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Potosi, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.