PHELPS COUNTY REGIONAL MEDICAL CENTER (NPI# 1578559076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578559076 |
| Entity Type | Organization |
| Organization Name | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| Other Organization Name | PHELPS HEALTH |
| 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 | 2005-09-21 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | ED J CLAYTON (CEO) |
| Authorized Official Telephone | 5734587919 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1447 | MO | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| PHELPS HEALTH | Doing Business As Name - Organization |
| 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 |
| 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 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1497278378 | Ariella Lee Schuler Martin | Nurse Practitioner | 1000 W 10th St, Rolla, MO 65401 | 2017-07-21 |
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881249464 | Rolla Grand LLC | Skilled Nursing Facility | 1800 White Columns Dr, Rolla, MO 65401-2044 | 2019-08-09 |
| 1003224825 | Silverstone Snf LLC | Skilled Nursing Facility | 2735 Eagleson Dr, Rolla, MO 65401-8384 | 2014-07-24 |
| 1316042898 | Rolla Manor, Inc. | Skilled Nursing Facility | 1800 White Columns Drive, Rolla, MO 65401 | 2006-09-13 |
| 1861503302 | Presbyterian Manors, Inc. | Skilled Nursing Facility | 1200 Homelife Plz, Rolla, MO 65401-2512 | 2006-08-31 |
| 1770578536 | Heritage Park Skilled Care | Skilled Nursing Facility | 1200 Mccutchen Rd, Rolla, MO 65401-2615 | 2005-09-16 |
| 1477043222 | Srz Op Rolla LLC | Skilled Nursing Facility | 1200 Mccutchen Rd, Rolla, MO 65401-2615 | 2018-05-17 |
| 1629403977 | Rolla Health Care LLC | Skilled Nursing Facility | 1200 Mccutchen Rd, Rolla, MO 65401-2615 | 2013-09-05 |
| 1437419389 | Benchmark Healthcare of Rolla, LLC | Skilled Nursing Facility | 1200 Mccutchen Rd, Rolla, MO 65401-2615 | 2012-05-25 |
| 1518280189 | Helia Healthcare of Rolla, LLC | Skilled Nursing Facility | 1200 Mccutchen Rd, Rolla, MO 65401-2615 | 2010-03-10 |
| 1598819112 | Cathedral Rock of Rolla Inc | Skilled Nursing Facility | 1200 Mccutchen Rd, Rolla, MO 65401-2615 | 2007-01-22 |
| Find all providers in ROLLA | ||||
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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.