| Organization Name: | WASHINGTON COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1194838821 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH F MARX (INTERIM CEO) |
| Mailing Address: | 300 Health Way Dr Potosi |
| State: | MO US |
| Postal Code: | 636641420 |
| Phone Number: | 5734385451 |
| Fax Number: | 5734382399 |
| NPI Enumeration Date: | 08/16/2006 |
| NPI Last Update Date: | 01/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 22442 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |