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NPI Code Detail

MEDICARE: WASHINGTON COUNTY HOSPITAL

MEDICARE: WASHINGTON COUNTY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2261QR1300XRural Health Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
216-8567OTHERIAMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
116D0386746OTHERIACLIA

General Provider Information

NPI Number : 1669802955
Entity Type Code : Organization
Provider Name (Legal Business Name) : WASHINGTON COUNTY HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 909
Second Line : 1230 S. IOWA AVENUE
City : WASHINGTON
State : IA
Zip : 52353-0909
Country : US
Telephone Number : 319-653-7291
Fax Number :
Provider Business Practice Location Address
First Line : 1230 S IOWA AVE
Second Line :
City : WASHINGTON
State : IA
Zip : 52353-1144
Country : US
Telephone Number : 319-653-7291
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. TODD PATTERSON
Credential :
Telephone Number : 319-863-3901
Provider Enumeration Date : 11/22/2013
Last Update Date : 01/08/2020

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1184663684 — DR. MATTHEW JOHN PRIHODA M.D.
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1770725202 — DR. TREVOR R. MARTIN D.O.
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Directions to “WASHINGTON COUNTY HOSPITAL ” Practice Location

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