Couch is a small, unincorporated community in Oregon County, Missouri, United States. It is located six miles south of Alton on Missouri Route A.Missouri Atlas & Gasetteer, DeLorme, 1st ed., 1998, p. 65 The ZIP Code for Couch is 65690.
History A post office called Couch has been in operation since 1887. The community has the name of George W. Couch, a first settler.
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