PHELPS COUNTY REGIONAL MEDICAL CENTER (NPI# 1427506039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427506039 |
| Entity Type | Organization |
| Organization Name | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| Practice Address |
1000 W 10th St Rolla MO 65401-2905 |
| Practice Telephone | 5734588899 |
| Practice Fax Number | 5734588330 |
| Mailing Telephone | 5734588899 |
| Mailing Fax Number | 5734588330 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | MRS. CATHERINE EIKERMANN (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 5734587618 |
| Authorized Official Credential | MJ MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
260017 | MO | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487829644 | Phelps County Regional Medical Center | Dentist | 1202 Homelife Drive, Rolla, MO 65401 | 2008-04-28 |
| 1346312873 | Phelps County Regional Medical Center | Psychiatric Unit | 1000 West 1oth Street, Rolla, MO 65401 | 2006-11-13 |
| 1376648725 | Phelps County Regional Medical Center | Psychologist | 1206 Homelife Dr., Rolla, MO 65401 | 2006-09-13 |
| 1578559076 | Phelps County Regional Medical Center | Skilled Nursing Facility | 1000 W 10th St, Rolla, MO 65401-2905 | 2005-09-21 |
| 1144386103 | Phelps County Regional Medical Center | Clinic/Center | 1000 W 10th St, Rolla, MO 65401-2905 | 2006-12-27 |
| 1528123528 | Phelps County Regional Medical Center | Ambulance | 1000 W 10th St, Rolla, MO 65401-2905 | 2006-12-27 |
| 1326144627 | Phelps County Regional Medical Center | Health Maintenance Organization | 1206 Homelife Plz, Rolla, MO 65401-2512 | 2006-09-15 |
| 1346287455 | Phelps County Regional Medical Center | Rehabilitation Unit | 1000 W 10th St, Rolla, MO 65401-2905 | 2006-05-31 |
| 1891766051 | Phelps County Regional Medical Center | General Acute Care Hospital | 1000 W 10th St, Rolla, MO 65401-2905 | 2006-01-27 |
| Street Address |
1000 W 10TH ST |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559076 | Phelps County Regional Medical Center | Skilled Nursing Facility | 1000 W 10th St, Rolla, MO 65401-2905 | 2005-09-21 |
| 1770192957 | Brandon Lamberth | Nurse Practitioner | 1000 W 10th St, Rolla, MO 65401-2905 | 2020-07-23 |
| 1669026670 | Patricia Lou Cox | Registered Nurse | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-07-29 |
| 1811555477 | Charles Joseph Krone | Anesthesiology | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-05-30 |
| 1194383711 | Collin Dobson | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-05-29 |
| 1104483718 | Blaine Goodman | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-05-20 |
| 1780247320 | Ryan James Ballard | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-04-18 |
| 1205304300 | Miracl, LLC | Clinic/Center | 1000 W 10th St, Rolla, MO 65401-2905 | 2018-11-06 |
| 1386142685 | Rachel Nacole Clark | Physician Assistant | 1000 W 10th St, Rolla, MO 65401-2905 | 2018-02-01 |
| 1629588314 | Patricia Ann French | Nurse Practitioner | 1000 W 10th St, Rolla, MO 65401 | 2017-10-06 |
| Find all providers in the same location | ||||
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871697425 | Phelps County Regional Medical Center Outpatient Pharmacy | General Acute Care Hospital | 1000 W 10th St, Rolla, MO 65401-2905 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396296893 | Rebekah Christian | General Acute Care Hospital | 39 Mckenzie Rd, High Hill, MO 63350-2907 | 2016-10-19 |
| 1477891406 | Do Not Use | General Acute Care Hospital | 217 Physicians Park Dr, Poplar Bluff, MO 63901-3956 | 2013-01-25 |
| 1548546138 | Black River Community Medical Center | General Acute Care Hospital | 217 Physicians Park Drive, Poplar Bluff, MO 63901-3956 | 2011-10-26 |
| 1992807952 | Irsa Wood Jackson | General Acute Care Hospital | 12 Willow Brook Dr, Saint Louis, MO 63146-5678 | 2006-09-01 |
| 1598710097 | Cah Acquisition Company 6 LLC | General Acute Care Hospital | 105 Hospital Drive, Sweet Springs, MO 65351-2229 | 2006-05-23 |
| 1114379153 | Pemiscot Memorial Health System | General Acute Care Hospital | 946 E Reed St, Hayti, MO 63851-1243 | 2016-07-01 |
| 1205296381 | Excelsior Springs Hospital | General Acute Care Hospital | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2016-03-02 |
| 1659764595 | John J. Pershing Vamc | General Acute Care Hospital | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2015-03-17 |
| 1902145436 | Ozarks Medical Center | General Acute Care Hospital | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2013-02-04 |
| 1487807657 | Cooper County Memorial Hospital | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233-2839 | 2008-10-31 |
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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.