WASHINGTON COUNTY MEMORIAL HOSPITAL (NPI# 1205064532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205064532 |
| Entity Type | Organization |
| Organization Name | WASHINGTON COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | WCMH URGENT CARE CLINIC |
| Practice Address |
300 Health Way Dr Potosi MO 63664-1420 |
| Practice Telephone | 5734385451 |
| Mailing Telephone | 5734385451 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | MRS. DEBRA A PRATT (CFO) |
| Authorized Official Telephone | 5734385451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 594426207 | 05 |
| Other Name | Type Code |
|---|---|
| WCMH Urgent Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1366713034 | Washington County Memorial Hospital | Clinic/Center | 1311 Maple St, Farmington, MO 63640-7641 | 2012-01-26 |
| 1568692788 | Washington County Memorial Hospital | Clinic/Center | 1 Kwan Plaza Highway 8 E, Potosi, MO 63664-1435 | 2009-07-22 |
| 1598826752 | Washington County Memorial Hospital | Radiologic Technologist | 125 Spring Meadow Cir, Salem, IN 47167-9429 | 2006-12-12 |
| 1972607414 | Washington County Memorial Hospital | Registered Nurse | 14 Kwan Plz, Potosi, MO 63664-1435 | 2006-09-12 |
| 1104933837 | Washington County Memorial Hospital | Family Medicine | 108 Frizzell St Ste 5, Potosi, MO 63664-1593 | 2006-08-25 |
| 1124062419 | Washington County Memorial Hospital | Anesthesiology | 911 N. Shelby St., Salem, IN 47167-2304 | 2006-06-16 |
| 1467424788 | Washington County Memorial Hospital | Clinic/Center | 108 Frizzell Street, Potosi, MO 63664 | 2006-02-02 |
| 1891149415 | Washington County Memorial Hospital | Clinic/Center | 200 Health Way Dr, Potosi, MO 63664-1434 | 2016-04-20 |
| 1720349970 | Washington County Memorial Hospital | Clinic/Center | 527 Benham St, Bonne Terre, MO 63628-1205 | 2012-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WASHINGTON COUNTY MEMORIAL HOSPITAL | 300 Health Way, Potosi, MO 63664-1420 |
| Street Address |
300 HEALTH WAY DR |
| City | POTOSI |
| State | MO |
| Zip Code | 63664-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245224153 | Steven John Grouse | Podiatrist | 300 Health Way Dr, Potosi, MO 63664-1420 | 2005-09-07 |
| 1720543838 | Kamal Akhtar | Nurse Practitioner | 300 Health Way Dr, Potosi, MO 63664-1420 | 2019-02-02 |
| 1285124362 | Tammy Jean Reed | Prevention Professional | 300 Health Way Dr, Potosi, MO 63664-1420 | 2018-05-15 |
| 1346730322 | Michelle Danielle Barnes | Prevention Professional | 300 Health Way Dr, Potosi, MO 63664-1420 | 2018-05-15 |
| 1285171462 | Kallie Belfield | Nurse Practitioner | 300 Health Way Dr, Potosi, MO 63664-1420 | 2017-01-25 |
| 1881075349 | Potosi Emergency Group, LLC | Physician Assistant | 300 Health Way Dr, Potosi, MO 63664-1420 | 2015-06-10 |
| 1144644139 | Carol Deal | Dietitian, Registered | 300 Health Way Dr, Potosi, MO 63664-1420 | 2014-02-11 |
| 1437382181 | Mid-west Podiatry & Associates, L.L.C. | Podiatrist | 300 Health Way Dr, Potosi, MO 63664-1420 | 2009-08-28 |
| 1235394628 | Inderjit Singh, Md, Facp, LLC | Specialist | 300 Health Way Dr, Potosi, MO 63664-1420 | 2008-07-24 |
| 1174726251 | Washington County Memorial Hospital | General Acute Care Hospital | 300 Health Way Dr, Potosi, MO 63664-1420 | 2007-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083017461 | Carolyn Coyne Maryan | Specialist/Technologist | 400 Mine St., Citadel School, Potosi, MO 63664 | 2014-09-30 |
| 1205073665 | Potosi Chiropractic Life Center | Chiropractor | 502 North Missouri St., Potosi, MO 63664 | 2009-01-07 |
| 1932385952 | Simpelo Medical Clinic, P.C. | Internal Medicine | 108 Frizzell, Suite 6, Potosi, MO 63664 | 2008-01-22 |
| 1760696918 | Brett T Snodgrass | General Practice | 1 Southtowne Dr., Great Mines Health Center, Potosi, MO 63664 | 2007-05-09 |
| 1710032297 | Washington County Handicapped Services Adult Day Health Care | Day Training, Developmentally Disabled Services | 10604 West Highway E, Potosi, MO 63664 | 2007-01-24 |
| 1578629473 | Greenlee Chiropractic Inc. | Chiropractor | Greenlee Chiropractic, 417 East High St, Potosi, MO 63664 | 2006-12-28 |
| 1003981895 | James Daley Robart Jr. | Chiropractor | 912 N Missouri St, Potosi, MO 63664 | 2006-11-21 |
| 1225063407 | Seth Paskon | Internal Medicine | Potosi Medical Clinic, #1 Kwan Plaza, Potosi, MO 63664 | 2006-07-12 |
| 1346295607 | Donna Yates | Nurse Practitioner | 600 Purcell Dr, Suite B, Potosi, MO 63664 | 2006-05-24 |
| 1467424788 | Washington County Memorial Hospital | Clinic/Center | 108 Frizzell Street, Potosi, MO 63664 | 2006-02-02 |
| Find all providers in zip 63664 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568692788 | Washington County Memorial Hospital | Clinic/Center | 1 Kwan Plaza Highway 8 E, Potosi, MO 63664-1435 | 2009-07-22 |
| 1558741231 | Midwest Health Solutions, LLC | Clinic/Center | 24 Southtowne Dr, Potosi, MO 63664-5729 | 2015-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.