Healthcare Provider Details

I. General information

NPI: 1669802955
Provider Name (Legal Business Name): WASHINGTON COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2013
Last Update Date: 01/08/2020
Certification Date: 01/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 S IOWA AVE
WASHINGTON IA
52353-1144
US

IV. Provider business mailing address

PO BOX 909 1230 S. IOWA AVENUE
WASHINGTON IA
52353-0909
US

V. Phone/Fax

Practice location:
  • Phone: 319-653-7291
  • Fax:
Mailing address:
  • Phone: 319-653-7291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. TODD PATTERSON
Title or Position: CEO
Credential:
Phone: 319-863-3901