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AUSTIN PLAZA PRIMARY CARE CLINIC
NPI 1104933837
Clinic/Center - Rural Health in Potosi, MO

Active since August 25, 2006CLIA Certified · 2 labs
108 FRIZZELL ST STE 5, POTOSI, MO 63664(573) 438-8500(573) 438-8787 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2020, Aug 22, 2020 (2 updates tracked since 2020).

About Austin Plaza Primary Care Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUSTIN PLAZA PRIMARY CARE CLINIC (NPI 1104933837) is a healthcare organization registered as a rural health in Potosi, Missouri and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Debra A Pratt, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104933837
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWASHINGTON COUNTY MEMORIAL HOSPITAL
Location Address108 FRIZZELL ST STE 5Potosi, MO 63664-1593
Mailing Address108 Frizzel #5Potosi, MN 63664-1434 · (573) 438-8500 · Fax (573) 438-8787
Phone(573) 438-8500
Fax(573) 438-8787
Organization SubpartNo
Authorized OfficialDebra A PrattCfo · (573) 438-5451
Enumeration DateAugust 25, 2006
Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1104933837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
108 FRIZZELL ST STE 5, Potosi, MO 63664
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Other Names 1

Doing Business AsAustin Plaza Primary Care Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0918478

Austin Plaza Primary Care · Potosi, MO
Active · expires Feb 23, 2027
CLIA Number26D0918478
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorSteven Ebers
Laboratory Phone(573) 438-8500
Laboratory LocationAustin Plaza Primary Care108 Frizzell St, Potosi, MO 63664
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 26D0441857

Washington County Memorial Hospital · Potosi, MO
Active · expires May 30, 2028
CLIA Number26D0441857
Laboratory TypeHospital
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorWeigang Zhu
Laboratory Phone(573) 438-5451
Laboratory LocationWashington County Memorial Hospital300 Health Way, Potosi, MO 63664
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Washington County Memorial Hospital's NPI number?

The NPI number for Washington County Memorial Hospital is 1104933837. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider is doing business as Austin Plaza Primary Care Clinic.

Where is Washington County Memorial Hospital located?

Washington County Memorial Hospital is located at 108 Frizzell St Ste 5, Potosi, MO 63664. The listed phone number is (573) 438-8500.

What is Washington County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Washington County Memorial Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Washington County Memorial Hospital was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.