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PHELPS COUNTY REGIONAL MEDICAL CENTER NPI 1457799520


NPI Information

NPI: 1457799520
Provider Name: PHELPS COUNTY REGIONAL MEDICAL CENTER

Doing Business As: PHELPS HEALTH MEDICAL GROUP ST JAMES

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 26D0861908

Address:
1000 N JEFFERSON STREET
ST. JAMES, MO
ZIP 65559
Phone: (573) 265-8840
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PHELPS COUNTY REGIONAL MEDICAL CENTER is a rural health clinic center in St. James, MO. PHELPS COUNTY REGIONAL MEDICAL CENTER NPI is 1457799520. The provider is registered as an organization entity type.
The provider Is Doing Business As Phelps Health Medical Group St James.

The provider's business location address is:

1000 N JEFFERSON STREET
ST. JAMES, MO
ZIP 65559-078
Phone: (573) 265-8840
Fax: (573) 265-8884

The provider's authorized official is Jana Marie Cook .
The authorized official title is Cfo/sr. Vp and has the following contact phone number (573) 458-7916.

The CLIA number assigned to this NPI record is 26D0861908 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2013 and was last updated on 2/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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