Healthcare Provider Details
I. General information
NPI: 1730992652
Provider Name (Legal Business Name): WASHINGTON COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/27/2025
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 N ORCHARD ST
MEDIAPOLIS IA
52637-7722
US
IV. Provider business mailing address
PO BOX 909
WASHINGTON IA
52353-0909
US
V. Phone/Fax
- Phone: 319-863-2088
- Fax:
- Phone: 319-653-5481
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
TODD
PATTERSON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 319-863-3901