PHELPS COUNTY REGIONAL MEDICAL CENTER (NPI# 1528123528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528123528 |
| Entity Type | Organization |
| Organization Name | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| Practice Address |
1000 W 10th St Rolla MO 65401-2905 |
| Mailing Address |
Po Box 220 Rolla MO 65402-0220 |
| Practice Telephone | 5734588899 |
| Mailing Telephone | 5734588899 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN DENBO (CEO) |
| Authorized Official Telephone | 5734588899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 14-48 | MO | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 800419103 | 05 |
| 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 |
| 1427506039 | Phelps County Regional Medical Center | General Acute Care Hospital | 1000 W 10th St, Rolla, MO 65401-2905 | 2016-09-13 |
| 1144386103 | Phelps County Regional Medical Center | Clinic/Center | 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 | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748397 | Guardian Advantage LLC | Ambulance | 2089 Exchange Dr, Saint Charles, MO 63303-5988 | 2020-04-07 |
| 1316591035 | John Knox Village | Ambulance | 400 Nw Murray Rd, Lees Summit, MO 64081-1498 | 2019-07-31 |
| 1346637105 | Aps Ambulance, LLC | Ambulance | 2950 Nw Platte Rd, Riverside, MO 64150-9636 | 2015-04-20 |
| 1376982801 | Gateway Emergency Medical Transportation LLC | Ambulance | 8050 Watson Rd Ste 140, Saint Louis, MO 63119-5337 | 2013-06-18 |
| 1154617579 | Oregon County Ambulance District | Ambulance | 722 West Walnut St, Thayer, MO 65791-1277 | 2011-06-23 |
| 1396051207 | City of Olivette | Ambulance | 9473 Olive Blvd, Olivette, MO 63132-3131 | 2010-08-30 |
| 1467770438 | City of Frontenac | Ambulance | 10555 Clayton Rd, Frontenac, MO 63131-2915 | 2010-05-14 |
| 1205154002 | Agile Specialty Transportation, LLC | Ambulance | 320 Brookes Dr Ste 212, Hazelwood, MO 63042-2740 | 2010-05-04 |
| 1013199231 | Gateway Ambulance Service LLC | Ambulance | 1530 Fairview Ave, Saint Louis, MO 63132-1302 | 2007-11-29 |
| 1194929240 | East Carter County Volunteer Ambulance | Ambulance | Rt. 2 Box 2004, South Side Hwy. A At West City Limits, Ellsinore, MO 63937-0160 | 2007-06-13 |
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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.