PHELPS COUNTY CLERK (NPI# 1427051069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427051069 |
| Entity Type | Organization |
| Organization Name | PHELPS COUNTY CLERK |
| Other Organization Name | PHELPS COUNTY HEALTH DEPARTMENT |
| Practice Address |
200 N Main St Ste G51 Rolla MO 65401-3070 |
| Practice Telephone | 5734586010 |
| Practice Fax Number | 5734586060 |
| Mailing Telephone | 5734586010 |
| Mailing Fax Number | 5734586060 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2007-08-15 |
| Authorized Official Name | JOSEPHINE P WALTMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 5734586010 |
| Authorized Official Credential | MS, MED, CPNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
N/A | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Phelps County Health Department | Doing Business As Name - Organization |
| Street Address |
200 N MAIN ST STE G51 |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-3070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255867479 | South Central Missouri Community Health Center | Family Medicine | 200 N Main St, Suite 51g, Rolla, MO 65401-3061 | 2017-05-09 |
| 1922001569 | Shirley Mae Hitt | Nurse Practitioner | 200 N Main St, Ste G51, Rolla, MO 65401-3070 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861958449 | Lewis County Health Department | Clinic/Center | 101 State Highway A, Monticello, MO 63457-1040 | 2019-02-19 |
| 1699031096 | Judy Elaine Knowlton | Clinic/Center | 1003 East Locust Street, Ripley County Health Center, Doniphan, MO 63935-8121 | 2012-04-10 |
| 1063782241 | Ripley County Public Health Department | Clinic/Center | Rr 8 Box 1478, Doniphan, MO 63935-8121 | 2012-01-05 |
| 1275775009 | Marion County Health Dept. & Home Health Agency | Clinic/Center | 3105 Rt. W, Hannibal, MO 63401-1378 | 2009-03-25 |
| 1134329816 | Cooper County Public Health Center | Clinic/Center | 606 E Spring St, Boonville, MO 65233-1523 | 2007-07-20 |
| 1861697955 | Truman Medical Center, Incorporated | Clinic/Center | 313 S Liberty St, Independence, MO 64050-3802 | 2007-06-19 |
| 1467554352 | Tri-county Health Department | Clinic/Center | 302 N Park St, Stanberry, MO 64489 | 2006-09-02 |
| 1477538825 | Cape Girardeau County Health Department | Clinic/Center | 1121 Linden St, Cape Girardeau, MO 63703-7708 | 2005-12-08 |
| 1649253105 | Douglas County Health Department | Clinic/Center | 603 Nw 12th St, Building C, Ava, MO 65608-0940 | 2005-11-29 |
| 1497749469 | Chariton County Health Dept. | Clinic/Center | 206 State St, Keytesville, MO 65261-1163 | 2005-09-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.